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According to an article about cobalamin deficiency in Tufts Universitys catnip newsletter, people with cobalamin deficiency also experience changes with intestinal permeability and absorptive function

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For individuals allergic to hydroxocobalamin, other alternative forms may be suitable, such as cyanocobalamin, methylcobalamin, adenosylcobalamin (also known as dibencozide), as well as oral vitamin B12 supplements which are available in various formulations like capsules