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Vitamin B12 is naturally found in foods that are high in meat and organ meats, poultry, fish, eggs, and dairy products, and some food manufacturers fortify the vitamin B12 content when making the food

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This length is sufficient to bypass the subcutaneous layer and deliver the B12 directly into the muscle

In some cases, additional tests such as a bone marrow biopsy or an endoscopy may be necessary to determine the underlying cause of the deficiency