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Even people who get their B12 from animal-based products can still have difficulty absorbing B12

Key Research Applications Obesity and weight management models Lipolysis optimisation Metabolic health and energy balance Anti-catabolic muscle protection Synergy with metabolic peptides Preparation & Storage Reconstitute with bacteriostatic water (room temperature first to ensure dissolution)

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Proton pump inhibitors (acid blockers) and over-the-counter non-steroidal anti-inflammatory agents can change the environment of the GI tract predisposing to nutrient deficiencies Unfortunately, that isnt an exhaustive list, but it does give you a pretty good idea of why you should be concerned about your vitamin B12 levels