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however, in some very rare cases, it may cause disease

Oral doses of (14)C-DTPA passed through the intestine and 95% to 100% of the dose was recovered in the stool within 2 to 5 days

This advanced formulation is particularly beneficial for individuals at increased risk of deficiency, including the elderly, vegetarians, vegans, and those with GI conditions that hinder B12 absorption, such as pernicious anemia, celiac disease, Crohns disease, and irritable bowel syndrome (IBS), among others

Fatigue: Individuals may feel constantly drained, even after adequate sleep, due to disrupted sleep quality and sleep maintenance issues