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Description

In these cases, an autoimmune reaction destroys intrinsic factor (another step in its absorption), preventing B12 absorption

Hydrochloric acid and/or sodium hydroxide may have been added during manufacture to adjust the pH (range 4.5 to 7.0)

The time it takes for vitamin B12 (cobalamin) treatment to produce noticeable effects varies considerably depending on the severity of deficiency, the route of administration, and individual patient factors