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Some B12 can also be absorbed passively in the intestines regardless of intrinsic factor, but this accounts for a small percentage

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The main reasons for this are believed to be lower body temperature and nighttime dehydration

The medication likely won't work as effectively because the protein has degraded

Studies of B vitamin supplementation for cancer prevention are also mixed (20) (21) (22) (23) (25) , and long-term supplementation may actually increase risk for lung or colorectal cancers (53) (54)