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pylori infection or chronic atrophic gastritis to be associated with adverse cardiovascular events, including myocardial infarction and stroke (reviewed in 23-25)

Whatever isnt needed will be excreted in your urine

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That enough B12 in multivitamins is degraded to make a significant difference in B12 status seems implausible because intrinsic factor should bind enough of the remaining active B12 to meet needs, presuming the multivitamin meets our minimum recommendation of 5 g

Because vitamin B12 is stored in the body it can in some cases take about 5 years for some of the more severe symptoms to manifest