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Patients with dysautonomia and Long COVID frequently suffer from gastrointestinal issues, such as gastroparesis, low stomach acid, or autoimmune gastritis, which severely impair nutrient absorption

I.DeLucaJ.IsaacsS.BaggishA.WeinerR.et al (2015)

B12 is also essential to the growth and development of a baby

Hydroxy B12 is an active form that is readily available for cell utilization

And indeed those fall under this category, but there are a bunch of other tissues for which you may want to improve metabolism and perhaps growth as well