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Oral B12 has only about 1 to 2 percent absorption, while injections are absorbed at 55 to 97 percent

Should I get labs before I use B12 shots

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Once the patient is diagnosed with PA, single endoscopic screening for gastric cancer or carcinoid tumours is recommended, but subsequent routine endoscopic surveillance recommendation is inconclusive.41 In the elderly, long-term use of medications for co-morbidities can interfere or reduce vitamin B 12 absorption