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Individuals with gastrointestinal conditions Crohns disease, celiac disease, and other inflammatory bowel conditions impair absorption
It works but is no where near as effective
How Your Body Absorbs B12 Though you get it from food, vitamin B12 (or cobalamin) originally comes from bacteria
While not bactericidal in the strict sense, the agent slows or halts microbial replication long enough to keep a punctured vial usable across multiple withdrawals
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