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Oral B12 supplements have to pass through the gut, and absorption can be limited especially if you have digestive issues, take certain medications like metformin or antacids, or simply have low stomach acid

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Follow your prescribing information or consult your healthcare provider

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3.6 Stroke and post-stroke cognitive impairment (PSCI) Post-stroke patients show gut dysbiosis with reduced microbial diversity, increased pro-inflammatory bacteria, and decreased levels of SCFA-producing bacteria such as Faecalibacterium (Yin et al., 2015)