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Drug-induced malabsorption: Long-term medications like metformin or proton-pump inhibitors can reduce B12 absorption

arguments against the use of oral cobalamin Oral treatment may be considered in certain situationsfor example, in mild or subclinical deficiency with no clinical features and when absorption and compliance are definitely not a problem

The National Institute of Health (NIH) shares that the recommended dietary allowance (RDA) for vitamin B12 is: Infants 06 months: 0.4 microgram Infants 712 months: 0.5 microgram Toddlers 13 years: 0.9 microgram Children 48 years: 1.2 micrograms Children 913 years: 1.8 micrograms Adult men and women over age 14: 2.4 micrograms Women who are pregnant: 2.6 micrograms Women who are breastfeeding: 2.8micrograms For adults over 50 years old, the NIH recommends taking a daily vitamin B12 supplement or consuming foods fortified with vitamin B12

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As you can imagine, this makes vitamin B12 a very important nutrient in pregnancy when your body is pretty much constantly creating new cells