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Poor absorption of vitamin B 12 may be due to: alcoholism bowel disease, such as Crohn disease, celiac disease or a parasitic infection prior surgery that removed portions of the stomach or small intestine chronic use of medications for ulcers or heartburn such as antacids lack of a protein called "intrinsic factor" This protein is needed to absorb vitamin B 12 from the diet

The vitamin is delivered into the fat layer just under the skin, often in the abdomen or thigh

Drug Metab Dispos

It is also a valuable option to consider in selected gut-health protocols, especially when the goal is mucosal support and inflammation reduction