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Hydroxocobalamin: Hydroxocobalamin is naturally produced by bacteria in the digestive tract when food is broken down and converted into methylcobalamin and adenosylcobalamin
Although further research is ongoing, research studies show that vitamin B12 deficiency itself can cause pronounced exhaustion and fatigue

Inflammatory Bowel Diseases, 2008 Stable gastric pentadecapeptide BPC 157: novel therapy in gastrointestinal tract

They then travel throughout the body to exert their effects
