You may be at an elevated risk for a B12 deficiency if you follow a vegan diet, if youve had weight loss surgery, have diabetes, HIV, or Crohns disease, or if you have a family history of the problem
Amino Assets: How Amino Acids Support Immunity
Warning signs include profound muscle weakness, severe fatigue, or abnormal heart rhythms
After that time, the potency may be less (but often is not)
Thaiss, C
[95] Intramuscular or intravenous injection [edit] Injection of hydroxycobalamin is often used if digestive absorption is impaired, [2] but this course of action may not be necessary with high-dose oral supplements (such as 0.51.0 mg or more), [97] [98] because with large quantities of the vitamin taken orally, even the 1% to 5% of free crystalline B 12 that is absorbed along the entire intestine by passive diffusion may be sufficient to provide a necessary amount