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It is used in the treatment and prevention of vitamin B12 deficiency in patients with conditions such as:_ Addisonian (pernicious) anemia Malabsorption Atrophic gastritis Prolonged treatment with metformin Small bowel bacterial overgrowth (SIBO) Total or partial gastrectomy Infection with the fish parasite Diphyllobothrium latum Helicobacter pylori infection Pancreatic dysfunction Pancreatic or bowel malignancy Dietary deficiency (e.g

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This ingredient has been linked to serious and sometimes fatal Gasping Syndrome in premature infants and is generally avoided in this group

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By improving liver function and fat transport, and supporting energy production through B12, they can make an active, calorie-controlled lifestyle more effective