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The reasons for a vitamin B12 deficiency are manifold: Unfavourable eating habits (for example fast food and convenience food), absorption disorders in older age, a strict vegetarian diet or certain intestinal diseases are frequent causes

This data was emerging well before peptides became available on the compounding markets

Choosing between B12 injections and oral supplements depends on your medical history, the underlying cause of your deficiency, and the severity of your symptoms

doi: 10.1016/j.neuropharm.2015.01.027