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Illicit GHB preparations vary widely in concentration, so a person may not know how much they are actually taking

That said, certain conditions that damage the stomach lining, including some forms of gastric cancer, can indirectly affect B12 absorption by impairing intrinsic factor production

Eskes hypothesized that hyperhomocysteinemia, even with normal folate levels, could be a toxic agent for the developing embryo (60)

Immune checkpoint inhibitors such as atezolizumab have also shown hints of promise

Sometimes the issue is as simple as inaccurate dose measurement

Follow healthcare provider recommendations: Working closely with a healthcare provider to determine the optimal dosing and frequency of B12 injections based on individual needs and health status can help maximize their effectiveness