Longer term though the damage will mean that the person is unable to use stores to regulate their B12 which can result in susceptibility to B12 deficiency
Modern processed foods, including fortified breakfast cereal , often contain synthetic cyanocobalamin that requires extensive conversion processes to become bioactive methylcobalamin
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Certain medications may also interfere with absorption and cause deficiency, in particular, medicines prescribed for heartburn, antibiotics, blood pressure medicine, cholesterol-lowering drugs, diabetes medications and antipsychotic drugs
It's best to follow a healthcare provider's advice