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Certain health conditions If you have a stomach or small intestine condition such as celiac disease or Crohn's disease, you may not be able to absorb enough vitamin B12 from food

The table below shows possible dosage changes for severe cases: Vitamin B12 Injection Dosage for Adults with Malabsorption Adults with malabsorption issues, like those with celiac disease or Crohns disease, might need more B12 injections

Well evaluate your symptoms, review your risk factors, and recommend the best course of actionincluding B12 therapy if indicated

In those with non-celiac gluten sensitivity, it is possible that gluten is reducing DAO production in the gut, and removing gluten may be a simple root cause solution