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People with malabsorption or gastrointestinal disease Conditions such as pernicious anemia, post-gastric surgery states, celiac disease, long-term proton pump inhibitor use, or other malabsorption syndromes reduce absorption of B12 from food and pills

This should, however, be read in the context of the earlier reservations: it concerns observations from cultures and animal models, not a clinical assessment

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$32.96 Overview An Active Intermediate Form of Vitamin B12 Vegan Non-GMO Gluten Free 0.0063 oz / Lozenge Premium Dietary Supplement GMP Manufacturing Quality Assured Independent Testing Discussion: Hydroxocobalamin is a unique form of vitamin B12, which is more readily converted into the coenzyme forms than conventional cyanocobalamin