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Despite these efforts, you might notice that you arent feeling your best

Allergic reactions: Rare but possible

When you ingest vitamins orally, your body has to process them through the digestive system, which can slow down the absorption rate

[DOI] [PubMed] [Google Scholar] 154.Kamiji MM, Inui A

It is used in the treatment and prevention of vitamin B12 deficiency in patients with conditions such as: Addisonian (pernicious) anemia Malabsorption Atrophic gastritis Prolonged treatment with metformin Small bowel bacterial overgrowth (SIBO) Total or partial gastrectomy Infection with the fish parasite Diphyllobothrium latum Helicobacter pylori infection Pancreatic dysfunction Pancreatic or bowel malignancy Dietary deficiency (e.g