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You may have health issues that interfere with your bodys ability to absorb the nutrient, you might not be getting enough in your diet, or you could be taking drugs that lower the levels of B12 in your body

J Hum Genet 62 , 687695 (2017)

For systemic or gut-related protocols, the abdominal fat pad at the navel region is used
I don't know for sure the cause of my deficiency

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