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Some factors associated with low intrinsic factor include: Being over 60 Northern European or Scandinavian ancestry A family history of intrinsic factor issues Autoimmune conditions such as Type 1 diabetes Surgeries where part of the stomach has been removed Other factors that may affect intrinsic factor or overall B12 absorption include: Stomach lining inflammation Conditions affecting the small intestine Long-term use of antacids Disruption of gut flora Certain gastrointestinal infections If any of the above apply, holding B12 sublingually for 30 seconds before swallowing may be helpful

Methylcobalamin helps rejuvenate and protect damaged nerve fibers, alpha-lipoic acid acts as a powerful antioxidant to shield nerves from chemical stress, and nicotinamide supports cell repair

Note - if you are using a pre-filled syringe, skip this step

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