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High-risk groups include vegans, those with pernicious anaemia or gastrointestinal conditions, and patients on long-term metformin or proton pump inhibitors

Wait 5 to 10 seconds after fully depressing the plunger before withdrawing the needle

MTHFR and Vitamin B12 Absorption The MTHFR genetic mutation has a negative effect on B12 absorption, with studies showing an increased prevalence of low blood levels of vitamin B12 in those with the mutation