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Since competition exists between enteric pathogens and commensal microbes for B12 sequestering and sharing, we hypothesized that excessive cobalamin supplementation alters the gut microbiotas functional activity, creating a favorable environment for pathogen colonization and pathogenesis

Can iron deficiency occur alongside Vitamin B12 deficiency

Each one-a-day tablet provides 20mg of Iron and 20g of Vitamin B12, two essential nutrients that work together to support normal immune function, cognitive performance, and the reduction of tiredness and fatigue

So, while the body might absorb sufficient amounts into the blood, it is unable to absorb it into the tissues where its ultimately needed