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Vegetarians and vegans lack dietary B12 sources unless they consume fortified foods

Conditions such as Crohns, coeliac disease or previous gut surgery, and the autoimmune cause behind pernicious anaemia, all affect how well you retain B12

peripheral vascular thrombosis Hematological : Polycythemia vera (a rare type of blood cancer) Gastrointestinal : Mild, transient diarrhea Dermatological : Itching

Specifically, it acts as an electron carrier in metabolic pathways such as glycolysis, the Krebs cycle, and oxidative phosphorylation

Protocols are not interchangeable between them, which is one more reason a provider evaluates each compound individually rather than applying a generic chart

Since your body does not make it, you have to get B12 from food or supplements