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Coverage is more likely if you have an underlying health condition that prevents your body from properly absorbing Vitamin B12 from food or supplements, such as pernicious anemia or certain gastrointestinal disorders, or if you have had specific surgeries like gastric bypass

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Methylcobalamin is best, unless you suffer from Lebers hereditary optic neuropathy (1 in 30,000 to 50,000 people), where hydroxy B12 is safer

Gastrointestinal symptoms dominate the side effect landscape

Post-Bariatric Surgery Dosing Requirements Those who have had bariatric surgery often need more B12 because their bodies dont absorb it well