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Step 2 Meet With a Clinician Meet with our clinician to discuss your goals and receive personalized therapy recommendations

Gastrointestinal conditions Some gastrointestinal conditions may affect how vitamin B12 is digested or absorbed, such as: history of gastrointestinal surgery celiac disease Crohns disease pernicious anemia infections, such as from Helicobacter pylori bacteria or parasites pancreatic insufficiency or cancer bowel cancer folic acid deficiency small intestinal bacterial overgrowth Vitamin B12 injections may be more helpful for people with gastrointestinal conditions than oral products

Peyronies disease is a condition that causes scar tissue called a plaque to accumulate inside your penis

Dietary Causes Dietary causes include too much grain and not enough roughage, consumption of moldy feedstuffs, diets high in sulfur, cobalt-deficient diets, or consuming certain toxic plants such as bracken ferns