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Certain conditions that affect the digestive system, such as pernicious anemia, celiac disease, and Crohns disease, can interfere with the absorption of vitamin B12

Endocr J 2023;70:86774.ArticlePubMed 7

In fact, research indicates it can influence the activity of over 4,000 human genes, essentially resetting them to a healthier, younger state

To go back to that quote that you were talking about, David

Patients should contact their GP within 24 hours or call NHS 111 if they develop: persistent or worsening side effects, new neurological symptoms, or concerns about their treatment response