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Some of the most common include: Pernicious anaemia This is when your immune system attacks healthy cells in your stomach and reduces the amount of Vitamin B12 your body can absorb from food

Patients report improved energy, better body composition over time, and in some cases improved metabolic markers

In the future, priority should be given to advancing clinical trials, optimizing injectable formulations and administration regimens, addressing environmental and cost issues in production, and strengthening synergistic research with other preparations to enhance its application value and promote the leap from scientific research to clinical practice

The pill or injection is preferred

Increased intake of calcium reverses vitamin B12 malabsorption induced by metformin