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For longer trips or shipping, specialized pharmaceutical transport containers may be necessary to ensure temperature stability

It could be that B12 is making the symptoms more obvious rather than causing them

Vitamin B12 is most seen in oral supplementation or vitamins you can buy in the grocery store or local pharmacy

This complex process means that conditions affecting the stomach or intestines can significantly impair B12 absorption, including pernicious anaemia, atrophic gastritis, previous gastric surgery, coeliac disease, Crohn's disease, and long-term use of certain medications (such as metformin, proton pump inhibitors, and H2 antagonists)

a 50-fold increase over the highest normal value has been documented [46]