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Also, people who use certain medications, such as proton pump inhibitors (PPIs), for a long time can suffer from low B12 levels due to poor absorption and bacterial overgrowth in the small intestine

While the science is promising, most evidence comes from small-scale or preclinical studies rather than large clinical trials

It also does not establish pharmacological safety, human bioavailability or clinical effectiveness

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It is not a drug, food, cosmetic, or dietary ingredient and must not be used on humans or animals