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Because B12 is naturally present only in meat and other animal products, vegans and vegetarians may not get enough B12 from their diet

However, some individuals may struggle to obtain sufficient amounts of B12 from their diet, leading to a deficiency

Vitamin B12 Injections for Pernicious Anaemia: UK Treatment Guide Pernicious anaemia is an autoimmune condition that prevents the body from absorbing vitamin B12 due to a lack of intrinsic factor, a protein essential for B12 uptake in the gut

This is done to manage potential side effects (like water retention) and to optimize cost

I would not prescribe something simply because it becomes accessible