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This includes people with: Pernicious anaemia (autoimmune destruction of intrinsic factor-producing cells), typically requiring lifelong IM injections Crohn's disease or surgical resection affecting the terminal ileum Coeliac disease causing malabsorption (may improve with gluten-free diet) Chronic pancreatitis reducing enzyme availability needed for B12 release Vegans and strict vegetarians need reliable B12 sources through fortified foods or supplements, as plant-based diets contain negligible amounts of active B12

It is widely studied for its potential to enhance endogenous GH production, support recovery, promote muscle growth, and aid in anti-aging research models

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Vitamin C supplements Vitamin C should be taken a couple of hours after taking a vitamin B-12 supplement to prevent undesirable interactions