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B12 shots are often recommended when there is a known absorption issue with B12 through the digestive system

These supplements lack the dramatic effects of BPC-157 but also lack the theoretical concerns

This is why people with stomach surgery, autoimmune gastritis, or long-term PPI use can develop B12 deficiency despite adequate dietary intake

Rosenfeld SV, Togo EF, Mikheev VS, Popovich IG, Khavinson VKh, Anisimov VN