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When you swallow a B12 pill, several steps have to work for it to be absorbed: stomach acid and the enzyme pepsin must release B12 from food or the supplement, the stomach must secrete a protein called intrinsic factor that binds to B12, and the B12-intrinsic factor complex must reach the ileum (the end of the small intestine) where it is finally absorbed

Comment: Many commenters expressed concern that the measure relies on a proprietary software platform developed by a single for-profit vendor that also serves as the measure steward

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Methylcobalamin injection is known to cause a number of undesirable side effects such as: Loss of appetite Vomiting Nausea Headache Diarrhea Q