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Vitamin B12 also affects the interactions among bacteria living in the gut microbiome, and in many cases, an imbalanced gut microbiome may be at the root of a B12 absorption problem

The dose escalation schedule of these medications also plays a role, with gastrointestinal symptoms often more pronounced during dose increases

It says do not exceed 4 tablets a day

Deficiency of Vitamin B12 Causes Which Disease : The most notable condition is pernicious anemia, which leads to a reduction in red blood cell production