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Here are seven reasons why you may have a B12 deficiency and could benefit from a B12 supplement/injection: You are older as it becomes harder for the body to absorb B12 as we get older You drink heavily as alcohol can hinder the body’s ability to absorb B12 You had weight loss surgery or another operation that removed part of your stomach You are a vegetarian and don’t eat enough eggs or dairy products to meet your vitamin B12 needs You have a Crohn’s disease , celiac disease or any condition that affects your small intestines You have an immune system disorder such as Graves disease or lupus You take certain heartburn medications such as Neium and Prilosec