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This method ensures maximum bioavailability, allowing the body to bypass the intrinsic factor requirement in the stomach that often limits the effectiveness of oral pills

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(2002) Randomized trial of methylcobalamin and folate effects on homocysteine in hemodialysis patients

These include: Individuals with pernicious anemia , a condition that causes their bodies to be unable to adequately absorb vitamin B12

The effect intensifies as you escalate doses over the following months

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