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Cyanocobalamin is indicated for vitamin B12 deficiencies due to malabsorption which may be associated with the following conditions: Addisonian (pernicious) anemia Gastrointestinal pathology, dysfunction, or surgery, including gluten enteropathy or sprue, small bowel bacteria overgrowth, total or partial gastrectomy Fish tapeworm infestation Malignancy of pancreas or bowel Folic acid deficiency It may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see PRECAUTIONS-Drug Interactions), use of a gluten-free diet in nontropical sprue, or administration of antibiotics in tropical sprue

This makes them ideal for those with digestive issues or severe deficiencies

These include aged cheeses, cured meats, fermented products (sauerkraut, soy sauce, vinegar), alcohol (especially red wine and beer), certain fish (tuna, mackerel), and leftovers that have been stored for extended periods

But their consistency is what separates short-term weight loss from lasting change

SAH ( m/z 385.1289) from 46 min