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It can also be depleted by chronic stress, alcohol, smoking, digestive issues, cardiovascular disease, illness, and aging because stomach acid production decreases with age, reducing B12 absorption significantly

Certain FDA-approved peptide medications may support weight loss when used under medical supervision alongside healthy lifestyle changes

I recommend: at least 2,000 mcg (g) cyanocobalamin once each week, ideally as a chewable, sublingual, or liquid supplement taken on an empty stomach or at least 50 mcg daily of supplemental cyanocobalamin or a serving of B12-fortified foods three times a day, each containing at least 190 percent of the Daily Value listed on the nutrition facts label Those over 65 years of age should take at least 1,000 mcg (g) cyanocobalamin every day

coli or Salmonella), parasitic infections (either from worms or single-cell parasites like Giardia), chronic and unaddressed food allergies or intolerances, even genetic factors can all be precipitating causes of IBD

Ref: Q.2