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When evaluating your nutritional needs, it is important to understand that vitamin B12 exists in four primary forms

It can include extreme tiredness or exhaustion that prevents you from doing activities of normal life

Normalization of vitamin B12 (B12) levels achieved following 1000 mcg oral Eligen B12 therapy: a clinical study comparing the efficacy and safety of oral B12 therapy versus intramuscular (IM) therapy

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We are entirely dependent on dietary intake or supplementation, and even with adequate dietary intake, absorption can be impaired by a range of factors including age-related changes to stomach acid production, certain medications, and digestive conditions

The choice between cyanocobalamin and hydroxocobalamin might also depend on the neurological symptoms