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Other factors include: Underlying cause of deficiency : Pernicious anaemia, malabsorption disorders, or dietary insufficiency may affect treatment response Medication use : Metformin and proton pump inhibitors can reduce gastrointestinal B12 absorption (though this does not affect the efficacy of intramuscular injections) Individual variation : Differences in how efficiently your body utilises the injected vitamin Adherence to treatment schedule : Missing injections or delaying maintenance doses can slow recovery Discussing these factors with your healthcare provider helps set realistic expectations for your treatment journey

Consult your healthcare professional before you add a new supplement to your routine

Your busy schedule shouldn't get in the way of your weight care, we can help manage your program securely in the Direct Health app, reducing the amount of in-person visits needed to keep you on track with your goals

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