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Though this is far above the recommended daily value, only a small percentage of the vitamin B12 in a pill is actually absorbed into the bloodstream

High serum levels of homocysteine and low serum levels of B12 have been associated with reduced cognitive function

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This includes NSAIDs, blood thinners, iron pills, and medicines with bismuth

Clinicians will typically try standard prenatal vitamins or oral supplementation first, resorting to IM/IV B-complex therapy if those are inadequate or not feasible

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