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Gastrointestinal conditions Some gastrointestinal conditions may affect how vitamin B12 is digested or absorbed, such as: history of gastrointestinal surgery celiac disease Crohns disease pernicious anemia infections, such as from Helicobacter pylori bacteria or parasites pancreatic insufficiency or cancer bowel cancer folic acid deficiency small intestinal bacterial overgrowth Vitamin B12 injections may be more helpful for people with gastrointestinal conditions than oral products

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It is frequently explored in research related to adipose tissue breakdown, reduced lipogenesis, metabolic regulation, and mechanisms affecting energy utilization without influencing IGF-1 activity

Tailoring treatment to each persons needs is essential for the best results