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We usually see some improvement in the first few weeks, with more noticeable changes later

Absorption problems Even with adequate intake, absorption can be reduced by: Certain gastrointestinal conditions affecting the stomach or small intestine Some medications Age-related reduction in stomach acid (which can affect absorption) Autoimmune gastritis (often historically referred to as pernicious anaemia) This is a well-recognised cause of B12 deficiency and may require ongoing management

Some medical conditions influence whether methylcobalamin or cyanocobalamin is the more appropriate form

Stanley TL, Feldpausch MN, Oh J, et al

Lipid metabolism and dynamics during phagocytosis

Wellness vs