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The medication will work in your body the same way regardless of taking it subq or intra

doi: 10.1016/j.ccell.2016.12.006

According to the Linus Pauling Institute at Oregon State University, pernicious anemia and B12 malabsorption are associated with a chronic inflammatory disease in the stomach, referred to as atrophic gastritis (low stomach acid)

This is why supplementation is necessary