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Absorption of vitamin B 12 is inhibited from both dietary sources and from the bile (enterohepatic circulation) and thus depletion of vitamin B 12 body stores can occur relatively quickly

Those who suffer from other dietary distresses like Crohns or stomach ulcers are also more likely to have low levels of Vitamin B12 absorption due to their illness and even their medications

Oral supplements must pass through the digestive system, which breaks down and limits nutrients

1 2 3 4 5 6 7 8 9 10 11 Institute of Medicine (1998)

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Unless sedation is being used, you will be awake and able to talk throughout the duration of the procedure