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Malabsorption (insufficient intake of vitamin B12in the intestine) due to insufficient production of intrinsic factor (a protein that is formed in the gastric mucosa and is required for the absorption of vitamin B12), Diseases in the end section of the ileum (part of the small intestine), e.g

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Cortisone shots (steroid injections) relieve pain and inflammation especially in your joints

These factors determine how well the vitamin is absorbed, stored, and utilized

(Magnesium is my fav mineral)