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U-40 syringes (more common in veterinary medicine and some European markets) deliver 0.025 ml per unit two and a half times more liquid per marking

Also, since you need stomach acid to absorb B12, long-term use of acid-suppressing proton pump inhibitors (such as Nexium, etc.) can lead to B12 deficiency, as can chronic intestinal conditions such as Crohns disease, celiac disease, and intestinal parasites

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Can You Have Too Much B12

A blood test should be sought to determine if the problem is dietary or autoimmune