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In some cases, if adhesions or strictures are severe, surgical intervention may be needed to restore normal flow through the small intestine

Factors That Affect How Quickly a B12 Shot Works The speed at which you might experience a boost in energy or other benefits after a B12 injection is influenced by several key factors: The Severity of Your Deficiency This is perhaps the most significant factor

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Inflammatory bowel syndrome, intestinal lymphomas, vomiting or diarrhea are reported to cause problems in cobalamin absorption