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Inadequate secretion of intrinsic factor, resulting from lesions that destroy the gastric mucosa (ingestion of corrosives, extensive neoplasia), and a number of conditions associated with a variable degree of gastric atrophy (such as multiple sclerosis, certain endocrine disorders, iron deficiency, and subtotal gastrectomy)

Because vitamin B6 plays a key role in the production of hemoglobin, it may be prescribed to help improve certain cases of anemia

For clients diagnosed with a B12 deficiency, our medical team typically recommends more frequent injections at firstoften once a week or as clinically indicateduntil your B12 levels reach a healthy range

Not getting enough vitamin B12 from your diet can affect the nutrient quality of your breast milk and reduce the amount of vitamin B12 your baby is consuming, so its Even if youre not following a vegan or strictly plant-based diet, you may develop B12 insufficiency or deficiency

Am J Physiol Endocrinol Metab 281:E1340-1346

Third, hydroxocobalamin has an antidotal role , used in cyanide poisoning