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You can still get B12 from dairy products, fortified cereals, and fortified non-dairy products if you're vegetarian

Vitamin B12 injections can be important during the winter months for several reasons: 1

Supports proper brain and nervous system function

Liao D, Tan H, Hui R, Li Z, Jiang X, Gaubatz J, Yang F, Durante W, Chan L, Schafer AI, Pownall HJ, Yang X, Wang H (2006) Hyperhomocysteinemia decreases circulating high-density lipoprotein by inhibiting apolipoprotein A-I Protein synthesis and enhancing HDL cholesterol clearance

People who are unable to absorb vitamin B-12 properly may have pernicious anemia, which is a type of anemia characterized by a lack of intrinsic factor

In addition to this method of absorption, evidence supports the existence of an alternate system that is independent of intrinsic factor or even an intact terminal ileum