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Its important to understand how chronic digestive diseases affect B12 absorption

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32 Similarly, an association between elevated homocysteine levels and cognitive impairment has been noted, but subsequent vitamin B 12 replacement does not have preventive or therapeutic benefit

A doctor may choose injections over oral supplementation to limit any barriers to absorption

Sources and Supplementation of Vitamin B12 Vitamin B12 is naturally found in animal products, including fish, meat, poultry, eggs, milk, and milk products