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The prevalence of vitamin B 12 deficiency in diabetic patients on metformin has been reported to be as high as 93% [13]

Then, in a process unique to B12, another protein, R-protein (aka cobalophilin, haptocorrin, and transcobalamin I (1)) picks up the B12 and transports it through the stomach and into the small intestine

Key nutrients like methylfolate, methylcobalamin, and betaine can help support healthy methylation and are found in many Seeking Health products

Injections are best for: Severe deficiencies, pernicious anemia, significant malabsorption issues, and when rapid symptom relief is needed

Your gastroenterologist will often order an imaging or radiology test, such as computed tomography (CT scan) or magnetic resonance imaging (MRI) to measure the degree of inflammation or if there is concern about an abscess or other complication from IBD

B12 is absorbed well from the fatty layer, so the vitamin reaches the bloodstream either way