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Longer cycles should include careful self-monitoring and ideally involve periodic blood work including copper levels

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3 Vitamin B12 Shots Are Safe All vitamin shots are water-soluble and safe

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This complex process means that conditions affecting the stomach or intestines can significantly impair B12 absorption, including pernicious anaemia, atrophic gastritis, previous gastric surgery, coeliac disease, Crohn's disease, and long-term use of certain medications (such as metformin, proton pump inhibitors, and H2 antagonists)