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I havent had time to read it all completely but the conclusion was that they dont really know much about it

vegans and vegetarians, due to inadequate iron intake and the lower bioavailability of iron from plants

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Diabetologia 57 , 10161026 (2014)

B12 injections are ideal for those who: Have a diagnosed B12 deficiency Dont absorb B12 well from food or supplements Need fast symptom relief If you are following a vegan or vegetarian diet (since B12 is found mostly in animal products) Your provider may recommend blood testing to confirm a deficiency and tailor a dosing schedule that fits your goals