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When your body does absorb B12, it takes time for the vitamin to be distributed throughout the body and more time for the body to use it in a way that is noticeable
Peptides dissolved in bacteriostatic water tend to cause less irritation than those mixed with other solutions
So, it may take several years for the anemia to develop after absorption of the vitamin has stopped
If you have certain digestive disorders, including pernicious anemia, or have had gastric bypass surgery, oral B12 will simply not work because you can't absorb it correctly
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