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It can also develop from poor B12 absorption, because some people are not able to absorb it well

Neomycin, colchicine, para-aminosalicylic acid, or excessive alcohol intake longer than two weeks may cause malabsorption of vitamin B12. Chloramphenicol and other drugs having bone marrow suppressant properties may cause a lack of therapeutic response to vitamin B12

There are many benefits of vitamin B12 injections

Read more about the difference between B12 shots and infusions here

Cost and coverage: Because the above symptoms are common and sometimes responsive to treatment even when the blood levels could be considered normal, some doctors began administering injections frequently to their patients