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You might also face difficulties getting the B12 you need if you have Celiac disease or Crohns disease, or if you are vegetarian or vegan

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On the other hand, oral pills are a convenient and affordable option for long-term use

Extended exposure to warmer temperatures may gradually affect both the B12 and the peptide, potentially causing subtle color shifts

For patients with severe cases of anemia or B12 vitamin deficiencies, a form of vitamin B12 called Hydroxocobalamin is sometimes used and does require a prescription