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The NIH Office of Dietary Supplements and the American Academy of Family Physicians identify the following groups as most vulnerable: Adults over 50 Age-related decline in stomach acid production reduces the ability to release B12 from food proteins

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Krishnan Y, et al

Before eating, rinse your mouth thoroughly with water and a dash of salt or baking soda

However, it is important to remember that while methylcobalamin is a powerful tool for supporting the methylation cycle, clearing homocysteine, and repairing the myelin sheath, it is not a standalone cure