Difficulty absorbing B12 can also be caused by conditions like Crohn's disease, celiac disease, surgical removal of part of the stomach or small intestine, or autoimmune diseases like pernicious anemia
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Once in circulation, these fatty acids can be taken up by muscle tissue, cardiac tissue, and liver for beta-oxidation (burning for energy)
Specific dosing should follow institutional research protocols
Patients typically feel the increased energy, mental clarity, and mood enhancement from each B12 injection for 5-15 days on average before it tapers off