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Conditions like celiac disease, inflammatory bowel disease, gastric surgeries, or chronic use of certain medications can reduce absorption from food and pills. If you have ongoing digestive issues, your provider may recommend a combination of gutsupporting strategiessuch as probiotics, a balanced diet, or targeted therapiesalong with B12, often using injections to bypass the digestive tract altogether

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For research use, we recommend using Bacteriostatic Water within 6 weeks of opening

For another key nutrient in this space, see our guide on magnesium for anxiety and stress, which covers the GABA and parasympathetic pathways that complement what B12 does on the neurotransmitter side

Cons Requires a needle