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Once clinical improvement is confirmed, maintenance supplementation of B 12 will generally be needed for life

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Clinical deficiency with clearly low blood levels affects a smaller percentage, but a much larger group falls into a gray zone where levels are low enough to cause subtle symptoms without triggering an obvious diagnosis

People with digestive disorders Conditions such as celiac disease, Crohns disease, or those who have had bariatric surgery may impair absorption

Yes, when used as directed

Vitamin A, vitamin D3, vitamin E, vitamins B1, B2, B6, B12, folic acid, pantothenic acid, biotin, niacin, magnesium sulphate