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This is because they need to overcompensate for the extremely poor absorption rate of synthetic B12, not to mention the stress it puts on our body trying to convert that much synthetic B12 into usable B12

What is vitamin B12 and why does it matter

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The authors describe cases where the only visible symptoms were persistent, non-itchy hyperpigmented patches or polymorphic skin lesions

Sublingual B12 performs better than pills but still has absorption limitations