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Malabsorption Issues: Conditions like Crohn's disease, celiac disease, or previous gastric surgery can interfere with B12 absorption from food

These are usually mild and go away over time

Pregnant or breastfeeding women, people with copper metabolism disorders like Wilsons disease, and anyone with active skin infections should speak with a doctor before starting

People with megaloblastic anemia, some gut problems, or malabsorption might need both

5 As described in the vitamin B 12 Dietary Fact Sheet from the National Institutes of Health (NIH), the recommended daily intake of vitamin B 12 ranges from 0.4 mcg in young infants to