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Infections and acute illnesses , including viral gastroenteritis, food poisoning, or antibiotic-associated diarrhoea, may coincidentally occur when someone has recently started B12 supplementation

Recently, however, methylcobalamin and adenosylcobalamin have become increasingly used in supplements because of their clear therapeutic advantages (see below)
People with pernicious anemia or people who cannot absorb vitamin B 12 from their intestines will need injections of vitamin B 12 every one to three months indefinitely

The specific code depends on the cause and type of anemia