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Consider intramuscular vitamin B 12 injections instead of oral replacement for suspected or confirmed vitamin B 12 deficiency caused by diet if: The person has another condition that may deteriorate rapidly and have a major effect on their quality of life (for example, a neurological or hematological condition such as ataxia or anemia)

The cause of the osmotic diarrhea prevents proper water and electrolyte absorption, according to Cleveland Clinic

Serious Vitamin B12 deficiency can result in decreased number of red blood cells (anemia), stomach or intestinal diseases and permanent nerve damage

Tirzepatide (Mounjaro and Zepbound), a GLP-1 and GIP receptor agonist, has recently gained significant popularity for its weight loss benefits