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Stress can contribute to poor nutrition or impairing digestion and absorption over time, while alcohol abuse interferes with absorption in the digestive system and damages the stomach lining ( 5 ) ( 6 )

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

Monitor serum phosphorus and calcium concentrations during and following infusion

This form of B12 is the most active form in your body, and offers protection for the cardiovascular system and the nervous system