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and c) irregular dietary patterns), reduced bioavailability (impairment of the intrinsic factor-mediated absorption pathway, often due to the widespread and prolonged use of proton pump inhibitors), and malabsorption syndromes

It is advised not to rub the skin for 4 to 6 hours or massage

Mascarenhas R, Gouda H, Ruetz M, Banerjee R

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Veterinary Restriction: Federal law limits this product to use only by or under the order of a licensed veterinarian

If your vitamin B12 deficiency is not caused by a lack of vitamin B12 in your diet, youll usually need to have an injection of hydroxocobalamin every 2 to 3 months for the rest of your life