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[124] Other causes of B 12 malabsorption include bariatric surgery, pancreatic insufficiency, obstructive jaundice, tropical sprue, celiac disease, inherited intrinsic factor deficiency, and radiation enteritis affecting the distal ileum

SIGNS & CONSEQUENCES OF VITAMIN B12 DEFICIENCY Because vitamin B12 must be obtained from the diet, ensuring you are eating a variety of foods is essential to prevent its deficiency

Published rodent in vivo studies have used intraperitoneal injection and oral (gavage) administration
This is relevant for product formulation and explains why some copper peptide products may work better than others

This preparation is contraindicated in patients who are sensitive to cobalt and/or vitamin B12