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18 Malabsorption due to microbiome imbalance, gut barrier damage, chronic use of medications such as metformin and proton-pump inhibitors, and poor diet also increases the likelihood of low B12 levels

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It functions by preventing the reuptake of three key neurotransmitters: serotonin, dopamine, and norepinephrine

Cyanocobalamin is more common and has a shorter body retention

In contrast, IM injections can be painful, and are more error-prone than injecting into fat