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Different types of injections and IV drops are available

However, fortified breakfast cereals and fortified nutritional yeasts are readily available sources of vitamin B12 that have high bioavailability

Importance : Essential for neurological function, red blood cell formation, and DNA synthesis

Conflict of interest Author TS reports that he provides strategic and scientific recommendations as a member of the Advisory Board and speaker for Novocure, Inc

Additional risk factors include: Chronic kidney disease : Reduced renal clearance may impair B12 excretion Liver disease : Hepatic dysfunction can disrupt B12 metabolism and storage Myeloproliferative disorders : Certain blood cancers increase B12-binding proteins Concurrent medication use : Some drugs may interact with B12 metabolism, including metformin, proton pump inhibitors, and H2 antagonists Patients with these conditions should have B12 supplementation carefully monitored by their healthcare team