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Vitamin D is another nutrient that is needed for B12 synthesis in the body

This could be due to medical conditions like pernicious anemia or digestive disorders such as Crohns disease or celiac disease

This specific type of vitamin B plays a crucial role in various aspects of your health, including DNA synthesis, metabolism, and red blood cell creation

Underlying health conditions: Some health conditions, such as gastrointestinal disorders or liver disease, can affect B12 absorption and metabolism, potentially leading to shorter-lasting benefits from B12 injections

You Have Absorption Issues Some people have trouble properly absorbing vitamin B12 from foods and oral supplements due to digestive disorders like celiac disease or Crohns disease