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Conditions like pernicious anaemia (an autoimmune disorder where your body cant absorb B12 from food), certain stomach conditions, medications that reduce stomach acid, or even gastrointestinal surgeries (like weight loss surgery) can prevent your body from properly taking in B12, even if youre getting enough in your diet

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People who are deficient often notice a meaningful difference over the following days as levels recover, while those whose B12 is already fine may feel little change

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