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These conditions affect how long b12 stays in the body, as individuals may not absorb enough of the vitamin from food or supplements

Similarly, B12 is classified not for its chemical nature (a vitamin) but for the high-risk administration route (injection) and the severity of the condition (Pernicious Anaemia) it treats

Additional risk factors include having your gut operated on, pancreatic insufficiency, small intestinal bacterial overgrowth (SIBO), parasite infections, and certain autoimmune disorders