Most people get enough B12 from their diet, but many have absorption issues that mean adequate intake doesnt translate into adequate cellular levels
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Your doctor may recommend taking vitamin B12, but they may also advise against taking supplements with very high concentrations of vitamin B12
Typically, people who have had gastric surgery and whose bodies have difficulty absorbing vitamin B12 receive injections or infusions
Your doctor will typically monitor your response through clinical improvement and blood tests such as full blood count, rather than rechecking B12 levels after starting injections
For instance, you need to take vitamin D at meal times, but taking B12 with food can limit the amount that reaches your bloodstream