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Vitamin B-12 from algae appears not to be bioavailable

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Abdallah Fouad Patients often ask why they need injections instead of pills the honest answer is that for confirmed malabsorption or pernicious anemia, injectable B12 simply bypasses the problem

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Passive diffusion accounts for 1.2% of overall absorption, with little effect on bioavailability in patients with pernicious anemia or gastro-duodenal resection [49, 50]