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This is the inactive form of vitamin B12 that requires the body to expend more energy to convert and remove a cyanide molecule than other forms of B12

Colchicine has been shown to induce reversible malabsorption of vitamin B12, apparently by altering the function of ileal mucosa

Folic acid can improve some blood findings while allowing nerve complications of B12 deficiency to continue if B12 deficiency is not treated

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Older Adults : Aging can reduce the bodys ability to absorb B12 from food