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Summary: B12 deficiency may be caused by malabsorption, poor dietary intake and/or pernicious anemia

Mix gently until fully dissolved and a clear solution is obtained

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This is because of the role the vitamin plays in the production of red blood cells

That system can break down if you: Take acid blockers (PPIs like omeprazole) or antacids regularly Have low stomach acid from age or chronic stress Have had GI surgery (gastric bypass, bowel resection) Live with conditions like celiac, Crohns disease, or IBS Have autoimmune pernicious anemia Even with high-dose tablets (e.g., 1000 mcg), only a small fraction may reach your bloodstream