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Other factors include: Underlying cause of deficiency : Pernicious anaemia, malabsorption disorders, or dietary insufficiency may affect treatment response Medication use : Metformin and proton pump inhibitors can reduce gastrointestinal B12 absorption (though this does not affect the efficacy of intramuscular injections) Individual variation : Differences in how efficiently your body utilises the injected vitamin Adherence to treatment schedule : Missing injections or delaying maintenance doses can slow recovery Discussing these factors with your healthcare provider helps set realistic expectations for your treatment journey
The most important factor is consistency of timing and route day to day, since the mechanism works cumulatively rather than as an acute event to time around a meal
In this guide, we break down how Medicaid approaches weight loss shots, what factors affect approval, and what options exist if coverage is limited or unavailable
