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Although you may eat plenty of B-12-enriched food, your body may not absorb it or use it efficiently due to aging, alcohol intake, and pollutants from the environment, all of which can take a toll on your body and digestion

The signs of thrombosis can be painful or uncomfortable

Additionally, most people with chronic liver disease also have hyperhomocysteinemia, which is a sign of vitamin B deficiency and necessitates the use of B12 and B9 supplements

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If dietary deficiency, high-dose oral B12 (1,000 mcg daily) works because passive diffusion absorbs a small percentage even without intrinsic factor

Why is B12 Difficult to Absorb and Do Oral B12 Sprays Work