Hemoglobin tests can show if you have anemia or not, and low B12 points to B12 deficiency anemia
You have digestive issues such as Crohns or Celiac disease
Future research should investigate long-term outcomes in high-risk populations, direct comparisons between physiological and pharmacological dosages, cost-effectiveness analyses, and adherence metrics to inform optimal strategies for the prevention and management of vitamin B12 deficiency
Cyanocobalamin has to go through a complex conversion process within the body in order to become active and many people cannot do these conversions well, so often much of the dose goes unused (even with a shot)
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Some researchers have suggested that these promising results warrant further research to study the compounds potential benefits for metabolic conditions like type 2 diabetes (T2D) and nonalcoholic fatty liver disease (NAFLD) [5]