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The body then uses vitamin B12 for various functions, In a person with pernicious anemia, the immune system mistakenly attacks the cells that produce the intrinsic factor

Then, it has to receive another methyl group if your body ever wants to convert and use it as active vitamin B12

Causes include: Pernicious anemia Gastrointestinal or autoimmune disorders Alcoholism Bariatric surgery Strict vegetarian diet Prolonged use of antacids or proton pump inhibitors Advanced age Conditions B12 May Help Prevent or Improve Memory loss, Alzheimers disease, or dementia Fatigue and lack of concentration Weakened immune system Heart, kidney, and liver disease Infertility Osteoporosis Allergies or asthma Tinnitus Skin disorders Lyme disease While oral supplements or nasal gels are alternatives, injections are often necessary when absorption through the digestive tract is impaired