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Most individuals transition to a maintenance schedule of one injection every 1-3 months, depending on their specific needs and how well they maintain B12 levels through diet and oral supplements

B12 and B complex injections can be given together in a single injection or as separate injections

Unfortunately, some patients have difficulty absorbing an adequate amount of vitamin 12 because they do not produce enough stomach acid due to a condition called autoimmune atrophic gastritis which can cause a deficiency of vitamin B12

Mol Endocrinol 18 : 14711485 Zizola CF et al

This process may be less efficient in individuals with certain metabolic or absorption issues