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Pernicious Anemia: This is an autoimmune disorder where the body mistakenly attacks a protein in the stomach called "intrinsic factor." Without this protein, you simply cannot absorb B12 from food, making injections a lifelong necessity

Journal of Bone and Mineral Research

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while CSE exposure led to diminished expression of Nrf2 in human alveolar epithelial cell

Intramuscular (IM) administration of B12 allows for direct delivery, bypassing the digestive system and ensuring efficient absorption, particularly in individuals with malabsorption or gastrointestinal issues