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The NIH reports that only about 10 micrograms of a 500-microgram oral supplement are actually absorbed in healthy people due to limitations of stomach acid and intrinsic factor

Vitamin B12 injections help by directly delivering the nutrient into the bloodstream, bypassing absorption issues and quickly restoring optimal levels to improve energy, mood, and overall health

Drink as a tea (23 cups daily) or incorporate into meals

AOD 9604 and Greater Weight Loss Results In addition to its positive effects on fat oxidation, insulin sensitivity, muscle retention and abdominal circumference

Conclusions This case highlights the importance of considering vitamin B12 deficiency in the differential diagnosis of pancytopenia, even when severe symptoms and laboratory findings might suggest more serious conditions