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I am baffled by that, since blood problems, and absorption problems caused by blood problems, are known to cause neurological issues

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Gastric bypass surgery : This surgery alters the digestive system, reducing the bodys ability to absorb B12 from food and supplements.For these individuals, methylcobalamin B12 injections provide a direct way to bypass the digestive system and restore essential B12 levels

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Insomnia and dry mouth round out the less common but notable side effects