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This stability underpins the entire rationale for oral dosing: a molecule that survives the stomach can plausibly exert effects directly on the gastrointestinal mucosa, and potentially be absorbed in functional form

For patients who have difficulty absorbing B12 through the digestive tractsuch as those with pernicious anemia, gastrointestinal disorders (like Crohns disease or celiac disease), a history of gastric bypass surgery, or those with severe B12 deficiencyour providers often recommend intramuscular B12 injections

The combination that works best depends on your individual health profile, goals, and response to treatment

Ensuring adequate B12 removes one potential contributor to mood problems during this challenging period

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As devoted dog owners, we want nothing more than our canine companions to live long, healthy lives