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Vitamin B12 deficiency typically has two causes: because a person isn't eating enough foods containing it or malabsorption because of conditions like celiac disease and pernicious anemia

The condition often progresses gradually, making early detection challenging without proper testing

Vitamin B12 shots are administered most often in those with genetic conditions that block absorption and people with the disorder called pernicious anemia, which can result in severe malabsorption and deficiency

Illustration courtesy of Wendy Brooks, DVM Illustration courtesy of Wendy Brooks, DVM The pancreas is a pale pink glandular organ nestled just under the stomach