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Low maternal B12 status is associated with offspring insulin resistance but B12 or folate supplementation does not alter that risk

Blood serum tests assume if B12 is in the bloodstream, then your body can absorb it, but that's not the case with so many regarding B12

Anesth Prog 38 Berlin R, Berlin H, Brante G, Pilbrant (1978) Vitamin B12 body stores during oral and parenteral treatment of pernicious anaemia

The goal is to get B12 into the body without going through the stomach