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It can also be depleted by chronic stress, alcohol, smoking, digestive issues, cardiovascular disease, illness, and aging because stomach acid production decreases with age, reducing B12 absorption significantly

However, it means that this method may be more painful and may cause swelling and redness

Is this the same as cyanocobalamin

Oral B12 works for many people, but it relies on digestion and absorption in the gut

We need better awareness

Management approaches include increasing fiber intake gradually (too much fiber at once worsens bloating), drinking at least 64 ounces of water daily, taking magnesium citrate (400-600mg at bedtime), and increasing physical activity