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However, persistent metallic taste may occasionally indicate medical conditions such as diabetes, reflux or deficiency

Anyone with digestive issues, low stomach acid or a condition affecting the gut may absorb very little from oral supplements regardless of the dose

It is not for everyone and is reserved for those who are severely obese

Some good may come of it, and even if patients are given a therapeutic trial of B12 injections it would be interested to see if they improved

Formulation type and additives The specific formulation your pharmacy uses affects stability

When supplements go through the gut, their effects arent as practical since the stomach may sometimes process these supplements inefficiently