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Just as the prevailing belief exists that grazing cattle cant get their B12 without eating dirt, so does the prevailing belief exists that cattle that are in these so-called factory farms (I prefer to call them CAFOs

Using certain medications Some commonly prescribed medications can affect how the body absorbs B-12

Supplemental B12 can lower homocysteine, lowering your risk of developing cardiac disease

High-dose vitamin B12 supplements taken concurrently with the injection may lead to excessive B12 levels, though toxicity from vitamin B12 excess is extremely rare due to its water-soluble nature and efficient renal excretion