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This reduction makes it more challenging for the body to absorb Vitamin B12 from dietary sources, which are mainly animal products like meat, fish, dairy, and eggs

We always recommend being in good shape, acclimatizing and being healthy

Use bacteriostatic (not plain sterile) water for a multi-dose vial so the preservative supports the multi-draw window, and reconstitute gently down the vial wall rather than blasting the powder

Cause of Low B12 levels Pernicious anaemia vegan diet malabsorption syndromes coeliac sprue Crohn's ulcerative colitis (UC) "food-bound cobalamin malabsorption syndrome" predisposing factors include atrophic gastritis, long term proton pump inhibitor or H2 antagnoist use, chronic alcoholism, gastrectomy/gastric bypass surgery, pancreatic exocrine failure, AIDS myeloma (paraprotein related assay interference) pregnancy combined oral contraceptive pill/HRT pancreatric insufficiency metformin, acute phase situations

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Long-term perspective separates people who succeed with the switch from those who abandon treatment