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If you have tried oral B12 before and felt no change, this may be part of the reason, and it is worth mentioning to your provider

Functional characterization of HFR1, a high-mannose N-glycan-specific wheat lectin induced by Hessian fly larvae

Heres why: Ongoing Absorption Issues: Many people have conditions that impair their ability to absorb B12 from food or oral supplements, such as pernicious anemia or gastrointestinal disorders

For non-prescribed supplements, discuss your results with your GP, who may recommend reducing or temporarily stopping supplementation and retesting after 2-3 months

Packer, L.) Vol