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This includes patients with pernicious anemia, a condition where the body cannot absorb B12 from food

Whats more, a vitamin B12 supplement alone, or part as part of a vegan multivitamin both seem equally effective at maintaining proper vitamin B12 levels, as long as the dosage is adequate

doi: 10.1074/jbc.M109.064808

Yes, but people with absorption issues (due to age, diet, or health conditions) may not get sufficient B12 from pills alone
