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Product Details Available sizes: 5 mg and 50 mg Form: Lyophilized powder Testing: Independent third-party testing COA: Available by lot Origin: Manufactured in the USA Packaging: Sealed vial Storage: Refrigerate between 2C and 8C

So people at greatest risk for deficiency include those with low stomach acid (e.g., older adults and people on proton pump inhibitors or antacids) or low IF production (known as pernicious anemia), people on medications that interfere with B12 absorption (such as metformin), people who have had gastric surgery, those with GI conditions that impair nutrient absorption (like celiac or Crohn's disease), and people on vegan and vegetarian diets

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