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Retrieved 19 November 2023

Many people will also experience cognitive difficulties such as problems with vision, memory, thinking, or reasoning, the development of mental illnesses such as depression, or general changes in behavior

(2011c)

These include: Pernicious Anemia: An autoimmune disease that stops the stomach from making a protein needed for B12 absorption

Individuals taking high-dose B12 supplementswhether oral, sublingual, or intramuscular injectionsmay develop elevated serum levels, particularly if supplementation exceeds physiological requirements

This creates a mini-fasted state that partially preserves bioavailability