That absorption gap is the whole point
www.cdc.gov
Research suggests that intramuscular delivery achieves significantly higher plasma concentrations than oral supplementation, making injectable Vitamin C a clinically effective option for patients with deficiency, compromised immune function, or chronic fatigue
How often to test: if your ferritin is in the optimal range, an annual check is usually enough
doi:10.1016/s0022-3476(88)80114-8
Finally, many of the common prescription medications (including the aforementioned acid blockers, as well as antibiotics, synthetic estrogens, and even birth control pills ) we see as problematic for the thyroid, can also cause inflammation in the gut, further affecting our ability to extract nutrients from food, and result in nutrient deficiencies