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Intrinsic factor is only made in the stomach and after a gastrectomy there is little to no more of it or gastric acid, and the active mechanism in the body where B12 is absorbed is either less available or not available at all depending on if the surgery was a total or a part of a gastrectomy

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In athletic performance, mitochondrial efficiency directly influences endurance, recovery speed, and overall work capacity

This small percentage provides adequate amounts when the dose is sufficiently high

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