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You're also at risk if you have a health condition that doesn't allow your body to properly absorb vitamin B12, as is the case for people with pernicious anemia who lack sufficient intrinsic factor (needed for your body to properly absorb B12), and people who've had weight loss surgeries or other surgeries involving removal of parts of the digestive tract

Infection at the injection site is uncommon but possible if aseptic technique is not maintained

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Patients with liver or kidney impairments need close observation, as the blends components undergo metabolism and clearance through these organs