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Inadequate secretion of intrinsic factor, resulting from lesions that destroy the gastric mucosa (ingestion of corrosives, extensive neoplasia), and a number of conditions associated with a variable degree of gastric atrophy (such as multiple sclerosis, certain endocrine disorders, iron deficiency, and subtotal gastrectomy)

Some physicians limit B12 shots only to those with documented deficiencies or absorption issues to prevent unnecessary treatment where dietary B12 is sufficient

L-Arginine L-Arginine helps your brain by boosting blood flow, which delivers more oxygen and nutrients to your brain cells

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This form can be used directly in the body, without need for conversion, and is better utilised than cyanocobalamin (5)