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However, due to its synthetic nature it is also the least bioavailable and active (Hunt, Harrington and Robinson, 2014) Methylcobalamin: The first of our non-synthetic forms of B12 is methylcobalamin, a naturally occurring co-enzyme

Here are some common causes: Dietary deficiency, mainly in vegans and vegetarians Pernicious anemia, an autoimmune issue with intrinsic factor production Gastric disorders, like atrophic gastritis or gastrectomy Malabsorption conditions, including Crohns disease and celiac disease Certain medications, like proton pump inhibitors and metformin Signs and Symptoms Requiring Medical Intervention Its important to know the signs of vitamin B12 deficiency

Always consult a licensed healthcare provider with any medical questions or concerns

The performance of chromoendoscopy to detect dysplastic lesions is limited by the presence of severe inflammation and hence would not be helpful in this patient