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The loss of enterohepatic recirculation would definitely cause an additional loss of 5mcg of B12 that is not recovered from bile
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Pregnant women require 1.5 g daily (the same as non-pregnant adults), whilst breastfeeding mothers need 2.0 g to support both their own requirements and those of their infant through breast milk

Most peptides degrade rapidly when exposed to stomach acid or digestive enzymes

Fatigue can have many causesincluding poor sleep, stress, thyroid disorders, or iron deficiencythat B12 injections cannot address

Mycotoxins can alter the composition of the gut microbiota, reduce secretory IgA, and damage the intestinal lining, leading to dysbiosis and leaky gut 30
