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Cyanocobalamin is distributed into breast milk in amounts similar to those in maternal plasma, and distribution in breast milk allows for adequate intakes of cyanocobalamin by breast-feeding infants

None gets lost to absorption or digestive tract issues, which can limit the effectiveness of oral vitamins

Moreover, muscle biopsies from older athletic participants showed improved mitochondrial respiration compared to age-matched and physically impaired participants 331

Lifestyle Choices You are also significantly more likely to suffer from B12 deficiency if you practice a vegan diet and lifestyle

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Certain groupssuch as older adults, vegetarians, individuals with gastrointestinal disorders, and those taking specific medications (e.g., metformin or proton pump inhibitors)may develop a B12 deficiency