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J Ren Nutr 1998;8:118-21

The USA follows with a CAGR of 6.8% , supported by rising health-conscious consumers and robust online sales channels

Proton pump inhibitors and similar medications that lower stomach acid might decrease the absorption of vitamin B12 from food, but this is less of a concern when receiving B12 injections because they bypass the digestive system entirely

Intramuscular injection would alter absorption kinetics and is not studied or approved