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Oral therapy is not dependable

For example: Fatigue, unexplained weight loss, or abdominal pain may indicate liver disease or cancer Easy bruising, night sweats, or feeling full quickly (early satiety) may suggest a myeloproliferative disorder Swelling in the legs, reduced urine output, or persistent nausea may point to kidney disease In cases of very high B12 from injections (not oral supplements), some people have reported headache, nausea, diarrhea, facial flushing, or skin rash

[77] [78] Research [edit] Permeation enhancers [edit] Treatment using oral drugs is an easier option in management but the bioavailability of vitamin B 12 is low

Vitamin B12 is a vital nutrient that helps your body produce red blood cells and maintain a healthy nervous system