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Excessive dilution can also affect peptide stability

[40] [41] In a study, B 12 deficiency caused by Helicobacter pylori was positively correlated with CagA positivity and gastric inflammatory activity, rather than gastric atrophy

People with digestive conditions such as Crohn's disease, celiac disease, or other inflammatory bowel conditions often have a compromised gut lining and cannot absorb oral B12 efficiently

Injectable vitamins may have some benefits over oral vitamin supplements, as they are absorbed directly into the bloodstream and dont have to undergo the digestive process where some of the vitamins are lost