Intrinsic factor is only made in the stomach and after a gastrectomy there is little to no more of it or gastric acid, and the active mechanism in the body where B12 is absorbed is either less available or not available at all depending on if the surgery was a total or a part of a gastrectomy
[1] Other manifestations of B12 deficiency include glossitis (sore, red tongue), mouth ulcers, visual disturbances, and in severe cases, psychiatric symptoms such as depression, psychosis, or dementia-like presentations
Buy 8 for $43.60 each and save 2% Buy 20 for $42.27 each and save 5% Write Your Own Review Vitamin B12 Injection 2000mcg 10ml Vial Storage: It's recommended to store your B12 Cyanocobalamin and B-Complex shielded from light in a cool-non-humid place, between the stable temperatures 59-86 Fahrenheit or 15-27 Celsius
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Most reconstituted peptides maintain their potency for 21-30 days when stored within this range