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The lack of vitamin B12 may result from any of the following conditions: Addisonian (pernicious) anemia this condition causes autoantibody formation against parietal cells, which results in a lack of IF essential for absorption of vitamin B12 from the intestine Malabsorption impaired absorption of vitamin B12 Gastrointestinal pathology, dysfunction, or surgery these include atrophic gastritis, celiac disease, small bowel bacterial overgrowth, pancreatic insufficiency, Helicobacter pylori infection, gastric carcinoma, and total or partial gastrectomy Diphyllobothrium latum and related species (the fish tapeworm) infestation these parasites compete with vitamin B12 for intestinal absorption

This underscores the importance of obtaining these medications through licensed physicians and state-approved pharmacies rather than unregulated sources

Animal Ethics Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue

Boosts Exercise Performance: It enhances your ability to lift heavier weights or perform more reps, promoting better results from weight training

PlexusDx Precision Peptide Genetic Test can provide context about your peptide metabolism predispositions, which you can discuss with your Noom or Hims provider to inform medication decisions or adjustments