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That matters for anyone whose gut doesnt absorb B12 well, think pernicious anemia, celiac disease, or a history of gastric surgery

People with dietary restrictions, gut issues, low iron, or constant fatigue often benefit

When you meet with your specialist, he or she will determine the appropriate treatment for any areas you wish to address, including moderate to severe frown lines, crows feet and forehead lines

Supplement or inject

Vitamin B 12 and homocysteine metabolism The figure shows the biochemical pathway of B-vitamin and homocysteine metabolism, highlighting the vitamin B 12 -dependent reaction catalyzed by methionine synthase

Most patients who are lacking B12 experience decreased energy and lower metabolism, making it problematic to stay on track with a diet or fitness regimen