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If a patients expectation is that a weekly injection will produce weight loss without dietary change, the ethical move is to reset the expectation or decline the treatment not to sell the package

Vegetarian and vegan sources of B12 can include fortified cereals, plant milks, bread, and nutritional yeast

[39] The elderly are at increased risk because they tend to produce less stomach acid as they age, a condition known as achlorhydria, thereby increasing their probability of B 12 deficiency due to reduced absorption

B12 Injection Dose for Adults with Special Conditions Adults with special conditions need careful B12 injection dosing

It is utilized by the body for the formation of red blood cells and DNA

If the uptake did not increase after addition of intrinsic factor the B12 malabsorption was likely to be caused by an intestinal condition