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Gastric bypass surgery : This surgery alters the digestive system, reducing the bodys ability to absorb B12 from food and supplements.For these individuals, methylcobalamin B12 injections provide a direct way to bypass the digestive system and restore essential B12 levels

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Perhaps youve adopted veganism and have started to feel run down

Cyanocobalamin is a synthetic form that must be converted within the body to become active

These typically appear in weeks 1 to 4