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Surgical procedures or conditions that affect the gut, such as gastric bypass surgery or celiac disease, can prevent intrinsic factors from binding to B12 and prevent the body from breaking it down before absorbing the vitamin

Supporters disagree, including the Washington Traffic Safety Commission, which says the current limit does not go far enough

The stomach produces it, which may be part of why it has such a broad cytoprotective profile: the gastric mucosa lives in a uniquely hostile environment and regenerates continuously

Other ways of supplementing with vitamin B12 include: oral tablets or capsules oral or nasal sprays drops for under the tongue Your doctor can provide advice on the most appropriate option for you