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Gastrointestinal conditions Some gastrointestinal conditions may affect how vitamin B12 is digested or absorbed, such as: history of gastrointestinal surgery celiac disease Crohns disease pernicious anemia infections, such as from Helicobacter pylori bacteria or parasites pancreatic insufficiency or cancer bowel cancer folic acid deficiency small intestinal bacterial overgrowth Vitamin B12 injections may be more helpful for people with gastrointestinal conditions than oral products

And while all forms of B12 are generally well-tolerated, clinically, doctors may find cobamamide to be the most well-tolerated of the three bioactive forms

Until randomized clinical trials evaluate hormone endpoints, claims of BPC 157 as a natural testosterone booster remain unproven

Accepted: Published: Version of record: Issue date: DOI:

Bismah Irfan, MD, sees the same handful of reconstitution errors repeatedly in her IVitality MD practice