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Most individuals transition to a maintenance schedule of one injection every 1-3 months, depending on their specific needs and how well they maintain B12 levels through diet and oral supplements

This is most common in people with a history of weight loss surgery, gastric surgery, Crohns disease (due to less intake and decreased stomach acid to convert B12 into a useable form), autoimmune conditions, chronic stomach inflammation from a bacterial infection like H

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The human CD38 gene: polymorphism, CpG island, and linkage to the CD157 (BST-1) gene

Some people report redness or itching where they get their injections

Atrophic gastritis is more common in elderly people of African American or Northern European descent