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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

Thats a meaningful distinction, because right now, most available medications operate within the same general family, so they have similar side effects

Mice were kept under standard conditions with water and food ad libitum and in a controlled environment (22 2 C, 55 5% humidity, 12 h light/dark cycle)

Adv Nutr (Bethesda, Md)