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Some reasons your body may not be able to get enough B12 from food include: Anemia Gastritis Crohns disease Celiac disease Alcohol use disorder Sjgrens syndrome Weight loss surgery, or surgery that removes part or all of your stomach A vegan or strict vegetarian diet (as B12 is only found in animal products) Medications, such as metformin and drugs used to treat gastroesophageal reflux disease (GERD), indigestion, and stomach ulcers Pregnancy Your doctor could also order a B12 test based on your symptoms

They can create a personalized plan based on your blood test results, health goals, and how you respond to the injections

The Dietitians Guide to Vegetarian Diets

Mistakes in either direction, too much AOD 9604 or too rapid tirzepatide escalation, create unnecessary side effects without additional benefit