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Perhaps one more thing: read the guidelines from the British society for haemotology

Because the intrinsic-factor route saturates at each exposure, spreading intake across the day, or using a high enough dose to recruit passive diffusion, tends to move biomarkers more than switching among cyanocobalamin, hydroxocobalamin, methylcobalamin, and adenosylcobalamin does

The origins of these symptoms are unclear, but they may be related to the stomach inflammation underlying some cases of vitamin B 12 deficiency and to the progressive destruction of the lining of the stomach (21)

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