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You may need B12 injections if you: Have been diagnosed with pernicious anemia Have gastrointestinal issues (e.g., Crohns disease, celiac disease, or after bariatric surgery) Follow a strict vegan or vegetarian diet without adequate supplementation Are over the age of 50, as absorption decreases with age Take certain medications that interfere with B12 absorption Have chronic fatigue, memory issues, or nerve problems due to B12 deficiency

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Other people report little appetite change, slow results, a long plateau, or the return of hunger and food preoccupation after an initially strong response

Draelos, Z.D.: The efficacy and tolerability of turmeric and salicylic acid in psoriasis treatment