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By increasing your vitamin b12 intake with injections, you will be able to properly develop your red blood cells, or hemoglobin, which will transport oxygen and nutrients effectively throughout the cells of your body to produce the energy that your body requires

Oral vitamin B12 without intrinsic factor in the treatment of pernicious anemia

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Conditions such as Crohns, coeliac disease or previous gut surgery, and the autoimmune cause behind pernicious anaemia, all affect how well you retain B12