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WHO defines anemia at Hgb below 13 g/dL for adult males and below 12 g/dL for adult females

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Why your body sometimes struggles to absorb vitamin B12: 4 Stomach or intestinal disorders, e.g., gastritis, Crohns disease Stomach surgeries that alter the points of absorption Medications such as gastric acid blockers or metformin When your needs increase Sometimes your body simply needs more: during pregnancy and breastfeeding 5 during growth phases 6 with high alcohol consumption 7 With age As we age, our bodies produce less stomach acid, which reduces our ability to absorb vitamin B12

When to stop Stop the protocol and contact your provider if you experience persistent redness or swelling at injection sites beyond 72 hours, fever, or any systemic symptom that does not correlate with the expected mild post-injection reaction