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It is particularly common in individuals with certain risk factors, including those who have undergone gastric or small intestine resections, have inflammatory bowel disease, use metformin or proton pump inhibitors, follow a vegan diet, or are older than 75 years

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It is a reasonable precaution in the absence of evidence either way

B12/MIC supports the cellular energy and fat metabolism pathways that lose efficiency with age and stress

Hydroxocobalamin is often favored in the UK and Europe because it remains in the system longer, meaning you might only need an injection every three months compared to every month with cyanocobalamin