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The Impact of a Single Day on Symptoms and the Misconception of B12 Storage B12 Excretion: You are correct that a significant portion of the injected hydroxocobalamin is excreted from the body within 48 hours

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Furthermore, it reduces hepatic gluconeogenesis by improving insulin resistance, further relieving liver fat accumulation

Taking stomach acid-lowering drugs : Medications can block absorption, including antacids used to treat conditions like gastritis or esophageal reflux and antihistamines

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