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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Despite the decrease in semen parameters shown in prospective studies, these medications are obviously not recommended to be discontinued as their impact is balanced by the positive role in controlling the chronic viral infection which itself often has a significant negative impact on male fertility potential
Devaux, A., Helmer, C., Genuer, R
[DOI] [PMC free article] [PubMed] [Google Scholar] He B