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Though vitamin B12 can be consumed in the diet, many people have difficulty absorbing it and look to alternative ways to maintain healthy B12 levels

Taken orally, cyano B12 absorption is drastically reduced if you have any gastric acid issues

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[13] In a newly diagnosed vitamin B 12 -deficient patient, normally defined as when serum levels are less than 200 pg/ml, daily IM injections of hydroxocobalamin up to 1,000 g (1 mg) per day are given to replenish the body's depleted cobalamin stores