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You are an older adult: Stomach acid production tends to decline with age, which can make it harder to absorb B12 from food and raises the risk of deficiency

Proceedings of the New Zealand Society of Animal Production, 62, 307-310

This not only increases the risk of intoxication, but also can result in higher BAC readings over an extended period

How long do the effects of this medicine last

Low levels can contribute to fatigue, weakness, low mood, brain fog, or pins and needles

Hydroxocobalamin is preferred because it binds more tightly to serum proteins, creating a depot effect that allows slower release and longer duration of action