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Individuals with specific single nucleotide polymorphisms (SNPs) impacting B12 absorption may benefit more from certain forms of Vitamin B12. However, since these SNPs are not typically included in commercial tests, individuals may need to experiment with different B12 forms sequentially or opt for a supplement containing a combination of all three naturally occurring forms of B12 for potentially faster clinical improvements

Bobkov V, Van Santbergen J, Bigirimana R, Baumeister J, De Haard J, Blanchetot C

[9] [10] Common side effects include nausea, vomiting, diarrhea, and constipationwhich can be particularly problematic in post-surgical patients who already have altered gastrointestinal anatomy and function

One systematic review found that PPIs were superior to H2 blockers in preventing bleeding in the stomach