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I have a doc appointment next Monday, and given the rarity of this condition, I don't expect my GP to know much about it right off the bat

This includes vegans and vegetarians, older adults, individuals with atrophic gastritis, pernicious anemia, gastrointestinal disorders, those who have had gastrointestinal surgery and people who take certain medications including, but not limited to, estrogen (HRT), and birth control pills

What You Can Expect After a B12 Shot Most people notice a difference within a few days sometimes even within hours

(2003) Oral vitamin B12 can change our practice

Metabolic pathway research, adipocyte behavior studies, mitochondrial efficiency analysis, and NAD+-related biochemical investigations