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Well, normally this vitamin is absorbed in the gut and so a disruption to normal gut function will reduce the amount of vitamin B12 that's being absorbed by the intestines and that will lead to a depletion of the normal body stores, which will then result in a deficiency in this vitamin within the body as a whole
Make sure to speak with your doctor to find the best option for you
[10] Breakfast cereals, certain vegan milk-alternatives (soya etc.), and some types of bread are the only way to increase vitamin B12 through diet
I am emetophobic (fear of vomiting) and have read up in a few medical websites that a common side effect of B12 injections is nausea and being sick
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