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If you have a temporary deficiency or increased requirement (say, after a surgery or during recovery from an acute illness), you might only need a short course, perhaps a few weeks of injections, until your vitamin levels normalize or you can meet your needs by mouth again

The good news is that finding a B12 deficiency is relatively simple

The peptide starts intact but faces multiple obstacles: stomach acid acts like corrosive rain, digestive enzymes work like strong winds trying to tear it apart, and the intestinal barrier functions as a selective filter