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The choice between Vitamin B12 supplements vs injections depends on several factors, including: Your needs: If you have a severe B12 deficiency or require rapid B12 replenishment, B12 shots may be the more effective option

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Loss of goblet cells and Paneth cells are early events in intestinal inflammation (9, 13) and have been associated with impaired metabolic fitness of IECs (9, 14)

We are not aware of any movement to make these tests more available even though the NICE Guideline on B12 Deficiency recommended the use of these tests, together with presentation of symptoms, to diagnose B12 deficiency and Pernicious Anaemia