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For example, people who have pernicious anemia, a condition in which they cannot make intrinsic factor which is needed for B12 absorption are not able to use vitamin B12 from foods or dietary supplements

Stephens, F.B., Constantin-Teodosiu, D., and Greenhaff, P.L., New insights concerning the role of carnitine in the regulation of fule metabolism in skeletal muscle, J

Oral milligram doses, injectable microgram doses, topical amounts, and intranasal formats are not equivalent

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When B12 runs low, symptoms tend to creep in slowly enough to get blamed on something else: persistent fatigue, brain fog, low mood, weight gain or difficulty losing weight, weakness, tingling in the hands or feet, shortness of breath, and a weakened immune system