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Description
The Cochrane Database of Systematic Reviews (4) CD004514

The injection is given every three months and contains a synthetic hormone called progestin

Zhou T, Xu X, Du M, Zhao T, Wang J

This can be due to a number of reasons, such as a lack of B12 in the diet, reduced stomach acidity, or when particular cells in the stomach - the "parietal" cells - do not produce enough intrinsic factor
