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Vitiligo : This condition leads to the loss of skin pigment, and research suggests a potential link between vitiligo and B12 deficiency

Treatment may help support: Vitamin B12 contributes to the bodys natural metabolic processes that support energy production

This is exactly why we can't rely on just one number

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As I said before PA is still thought to be the primary culprit here, other causes of B12 deficiency such as malabsorption caused by metformin, H2 blockers, PPIs, parasites, etc

The oral delivery format may have different bioavailability compared to injectable protocols, and dosing equivalency between administration routes is not definitively established through comparative pharmacokinetic studies