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it can be taken as a pill or under the tongueis when there is a deficiency that can be caused by pernicious anemia, celiac or Crohns disease, or weight loss procedures such as gastric bypass surgery, which interferes with the bodys ability to extract vitamins from food

I still think it indicates you cant utilise any b12 stores in the liver

However, higher-quality studies are necessary to prove these links

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So, who is most at risk for developing this deficiency