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If you live at a higher elevation, moving to sea level can be curative within three to six months of moving for elevation-induced cases

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For example, some medications cant be given orally because acid and enzymes in the stomach would destroy them

To absorb vitamin B12 effectively, your body requires an intact stomach and gut, a well-functioning pancreas, and sufficiently high levels of intrinsic factor, a protein that binds to vitamin B12 in the stomach (1)

Which form suits you is a clinical decision made with your provider