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Oral B12 supplements have to pass through the gut, and absorption can be limited especially if you have digestive issues, take certain medications like metformin or antacids, or simply have low stomach acid

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Maybe they have some chronic disease, diabetes, heart disease, autoimmune disease

This article is an informational overview and does not constitute medical, health, or dietary advice

Prioritize quality: Purchase B12 and supplies from reputable sources to ensure safety and efficacy