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Taking B12 with or without food makes little difference for standard oral supplements in individuals with normal gastrointestinal function

Inadequate secretion of intrinsic factor, resulting from lesions that destroy the gastric mucosa (ingestion of corrosives, extensive neoplasia), and a number of conditions associated with a variable degree of gastric atrophy (such as multiple sclerosis, certain endocrine disorders, iron deficiency, and subtotal gastrectomy)

The Result: The PBM (like Express Scripts or CVS Caremark) sees this as a product

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