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+ B12 injections suit vegetarians and vegans who do not eat animal foods, patients with confirmed absorption issues such as pernicious anaemia, coeliac disease or significant IBS, older adults whose stomach acid has dropped with age, and patients on long-term metformin or proton-pump inhibitors that lower B12 absorption

This includes tendons, ligaments, muscles, and skin

While some may experience increased energy and motivation to exercise shortly after treatment, others may see gradual changes in weight over several weeks with regular sessions

In other words, generic medications have the same pharmacological effects as their brand-name counterparts

In summary, maternal supplementation during pregnancy and early lactation with 50 g of daily oral vitamin B-12 significantly improved maternal plasma and breast milk measures of vitamin B-12 status, as well as multiple measures of infant vitamin B-12 status

Table 1 Clinical features of the patient