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Having an intestinal disorder resulting in less stomach acid : Research suggests that these include conditions like gastritis, hypochlorhydria or achlorhydria

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It seems there may be a general lack of education available to most doctors about the different forms of B12 and what those forms are as well as how they get converted within the body and what each is most beneficial for (not to mention which set of genes or genetic mutations could benefit most from which B12 type)