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At the end of the small intestine, vitamin B12 is actively absorbed

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The injection can be given every 6 months if due to a dietary deficiency, or 2-3 months if the cause of your low B12 levels is anaemia based

Low B12 is common in vegetarians, the elderly and those with conditions affecting nutritional absorption

If thats your situation, ask your healthcare provider about other treatments that may ease your symptoms

Evening administration, by contrast, occurs when insulin is elevated post-meal and NAMPT expression is suppressed