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The severity of a B12 deficiency plays a key role, as does the type and severity of nerve pain

Older adults: Age-related changes can reduce the stomachs ability to absorb B12 from food

This phenomenon seems to be promoted by supplementation with high doses of vitamin B12 or its long-term use [106]

and Podrini, C

Do not use if you are allergic to hydroxocobalamin, cyanocobalamin, cobalt, or any ingredients in this product (can cause severe allergic reaction)

Deficiency is more common than many people realise particularly in those following plant-based diets, individuals with gastrointestinal conditions affecting absorption, and older adults