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With an oral supplement, the vitamin is absorbed through your stomach lining, which adds an extra step before it enters your bloodstream
Detection of cobalamin deficiency using the urinary methylmalonic acid test by gas chromatography mass spectrometry
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Additionally, if there is an imbalance in the gut microbiome, it can increase the number of lipopolysaccharides and interleukins, leading to skeletal muscle insulin resistance and psychiatric and neurodegenerative diseases [4]
