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While oral supplements may be effective for some, the bodys ability to absorb them often decreases with age

Decreasing the risk of birth defects in pregnant women

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Other causes of vitamin B 12 deficiency Other causes of vitamin B 12 deficiency include surgical resection of the stomach or portions of the small intestine where receptors for the IF-B 12 complex are located

These include the following: Bupropion and Naltrexone (Contrave) Contrave is a fixed dose combination of bupropion and naltrexone in a single tablet

Methylmalonic acid is especially helpful when standard B12 levels appear falsely elevated but symptoms remain