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( In some of the clinical reviews, it was stated that many do not use oral vitamin B12 replacement in view of concern on the unpredictable absorption at low doses of oral replacement

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Gastric bypass surgery : This surgery alters the digestive system, reducing the bodys ability to absorb B12 from food and supplements.For these individuals, methylcobalamin B12 injections provide a direct way to bypass the digestive system and restore essential B12 levels