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Causes of vitamin B12 deficiency include food cobalamin malabsorption (low intestinal absorption of the vitamin from food) due to intrinsic factor receptor deficiency (a substance needed for absorption of B12), impaired calcium availability, gastrointestinal disorders such as chronic gastritis, Crohns disease, and other bowel inflammatory disorders, surgery on the digestive tract such as total or partial gastrectomy, or autoimmune conditions

These come from damage to the myelin coating around nerve fibres

Vitamin B12 Deficiency causes neuropathy and gratis anemia in cows, horses, dogs, and cats

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For those requiring B12 for legitimate medical reasons, adjusting the dose or formulation may help, though only under medical supervision

Penile injections may be used after prostate cancer surgery, radiation, or hormone therapy, but timing should always be discussed with your healthcare provider