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If you are vitamin B12 deficient, its important to address the underlying causes of your deficiency

Another class of muscle diseases characterized by mitochondrial dysfunction is IBM, which primarily affects older individuals

Inadequate secretion of intrinsic factor, resulting from lesions that destroy the gastric mucosa (which can be caused by ingestion of corrosives, extensive tumors, and conditions associated with gastric atrophy, such as multiple sclerosis, certain endocrine disorders, iron deficiency, and subtotal gastrectomy) Structural lesions leading to vitamin B 12 deficiency, including regional ileitis, ileal reactions, and malignancies Competition for vitamin B 12 by intestinal parasites or bacteria

the values above reflect the manufacturer's published product standard