To absorb B12 from food or from a pill, your body needs three things working together: Stomach acid , which releases B12 from the protein it is bound to Intrinsic factor , a protein your stomach lining makes that escorts B12 through your gut A healthy small intestine , specifically the last section, where B12 is finally taken in Should even one of these three steps break down, absorbing B12 from a tablet becomes difficult
Pregnancy and breastfeeding increase B12 requirements, and pregnant women with B12 deficiency may need more frequent monitoring and potentially adjusted treatment schedules
[3] For confirmed deficiency with neurological involvement: 1 mg IM on alternate days until no further improvement, then 1 mg every two months urgent initiation is essential to prevent irreversible nerve damage
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