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These include: pernicious anaemia where your immune system attacks healthy cells in your stomach, preventing your body from absorbing vitamin B12 from the food you eat

B12 is a water-soluble vitamin, so your body absorbs what you need, and any excess passes through your urine

The answer to this question may not be as straightforward as it seems

2 Taking these active forms together is shown to improve B12 levels much more effectively than cyanocobalamin, especially in those with conditions affecting B12 absorption

If a rash, hives, swelling, or trouble breathing shows up, stop use immediately and seek medical care