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Difficulty absorbing B12 can also be caused by conditions like Crohn's disease, celiac disease, surgical removal of part of the stomach or small intestine, or autoimmune diseases like pernicious anemia

There are also certain drugs and health conditions that can increase the likelihood of developing a B12 deficiency such as: alcohol abuse, antacid use, smoking, celiac disease, other digestive concerns, pregnancy, a strict vegetarian or vegan diet, and even natural aging

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Maintenance uses 1-2mg weekly thereafter

This combination not only helps you lose weight but may also support your energy, focus, and overall well-being