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Other groups who may benefit include: Patients following gastric surgery (gastrectomy, bariatric procedures) where intrinsic factor production or absorption sites are compromised Individuals with malabsorption disorders such as Crohn's disease, coeliac disease, or chronic pancreatitis Strict vegans and vegetarians with dietary insufficiency, though oral supplementation is usually tried first Elderly patients with atrophic gastritis or reduced gastric acid production Patients on long-term metformin or proton pump inhibitors, which can impair B12 absorption [6] [8] Individuals with nitrous oxide exposure (recreational or medical), which can cause functional B12 deficiency Diagnosis typically involves serum B12 measurement, with levels below approximately 148 pmol/L (though thresholds vary between laboratories) generally indicating deficiency

In major trials, semaglutide produced about 15% weight loss around 68 weeks, and tirzepatide produced greater weight loss at around 72 weeks in head-to-head comparison

With regular injections, you can ensure consistent B12 levels without the hassle of remembering to take pills

Before starting: Consult a pediatrician or functional medicine doctor

Increased Energy Levels: IV infusion vitamins can boost energy levels by replenishing crucial vitamins like B-complex, vitamin C, and magnesium