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[1] Because intrinsic-factor-dependent uptake in the distal ileum can be absent in conditions such as autoimmune gastritis, pancreatic insufficiency, or bariatric surgery, the intramuscular or subcutaneous route bypasses gastrointestinal barriers and reliably restores serum concentrations

Additionally, your medication may arrive packaged in a HardyPaw Pharmacy vial

When a deficiency is corrected, some people notice stronger nails, less shedding, and clearer skin over about three months as new cells replace old ones

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You can also get additional vitamins with the same shot depending on what you order or what your wellness specialist recommends