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A commenter recommended including primary care physicians because a substantial portion of patients are managed solely by PCPs

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Any stomach disorders, or conditions like pernicious anemia where Intrinsic Factor is lacking, can prevent B12 absorption, as can intestinal inflammation such as Crohns disease if a damaged terminal ileum cannot take up vitamin B12

Your aesthetician will recommend complementary treatments based on your specific concerns, though many patients achieve excellent results with SkinPen alone