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Vitamin B12 deficiency: An update on diagnosis and management

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Cyanocobalamin thus reduces the SAM level, which is however urgently needed in the body Poor storability: finally, cyanocobalamin is inferior to the other B12 forms in terms of absorption

Low B12 levels can be affected by factors such as stress, diet (particularly vegetarian or vegan diets), digestive conditions, certain medications, poor absorption, alcohol intake and general lifestyle demands