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It's especially helpful for individuals who have absorption issues, such as those with pernicious anemia, gastrointestinal disorders, or who've had gastric surgery

Prevention and treatment Diet Including foods with vitamin B12 and folate (listed above) in the diet is the first step to preventing and treating low levels of these vitamins

Kvass is a traditional fermented Slavic and Baltic beverage commonly made from rye bread, which is known in many Central and Eastern European and Asian countries as "black bread"

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Medications that can interfere with B12 include metformin, proton pump inhibitors, and H2 blockers

References Scientific Review Scientific Contributor and Reviewer Reviewed for scientific accuracy, 14 June 2026 Lyophilised powder: store at -20 C or below, away from light and moisture