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Food intake remained consistent between the groups, suggesting metabolic changes

However, some people may experience nausea or indigestion when taking vitamin B12 on an empty stomach

For those without malabsorption, oral B12 supplements are generally preferred
but I would take that to mean that once you are on an adequate amount of B12 injections and no longer have large red blood cells , both folate and ferritin should remain at a good level with a healthy diet

Perhaps most telling, researchers tested for anti-AOD 9604 antibodies at multiple timepoints throughout the trials
