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Vitamin B12 absorption begins in the mouth but mainly occurs in the stomach and small intestine with the help of intrinsic factor, a protein that helps your body absorb B12. Weight loss surgery results in anatomical changes, such as a smaller stomach, reduced stomach acidity, and changes to the small intestine, that can lead to vitamin B12 malabsorption and decreased intrinsic factor secretion

Hydroxocobalamin does not work as a coenzyme, but passively in the blood and cell plasma, where it binds to toxic substances, like cyanide and nitric oxide, and transports them out of the body

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Medical applications of vitamin B12 injection 1

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Individuals with digestive issues: B12 aids in maintaining a healthy digestive system