Conditions like celiac disease, inflammatory bowel disease, gastric surgeries, or chronic use of certain medications can reduce absorption from food and pills. If you have ongoing digestive issues, your provider may recommend a combination of gutsupporting strategiessuch as probiotics, a balanced diet, or targeted therapiesalong with B12, often using injections to bypass the digestive tract altogether
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That is why lifelong supplementation is standard for bariatric patients, a point Dr
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"Effects of vitamin B12, on cell proliferation and cellular alkaline phosphatase activity in human bone marrow stromal osteoprogenitor cells and UMR106 osteoblastic cells"
