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As people age, the formation of intrinsic factor may reduce or stop altogether ( Other risk groups include those who have had weight loss surgery or suffer from Crohns disease or celiac disease ( Deficiency may cause various health problems, such as anemia, appetite loss, sore tongue, neurological problems and dementia ( Side Effects and Toxicity Only a small proportion of vitamin B12 can be absorbed from the digestive tract

At this time, it is not available as a pill

This frustration is common for many Americans seeking modern metabolic support

it is not FDA-approved in the United States, and the analog is not approved for human use anywhere