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Common causes include: Pernicious anemia, an autoimmune disorder hindering Vitamin B12 absorption Gastrointestinal surgeries, like gastrectomy, impact Vitamin B12 uptake Long-term use of certain medications, such as metformin or proton pump inhibitors Diets lacking in Vitamin B12, often seen in vegans and vegetarians For those without a deficiency, Vitamin B12 injections are not typically recommended, as their body can naturally regulate and excrete excess amounts of the vitamin

Most patients experience mild discomfort during treatment, but the procedure is generally well tolerated

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When to Seek Emergency Care Palpitations accompanied by chest pain or pressure Severe shortness of breath Fainting or near-fainting episodes Rapid heartbeat lasting more than a few minutes