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High-dose oral B12 can still work for people who have mild absorption problems because a small amount is absorbed through passive diffusion, which is not affected by intrinsic factor

[2] This intricate mechanism means that deficiency can arise not only from inadequate dietary intake but also from conditions affecting any stage of this absorption pathway

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How to Treat Vitamin B12 Deficiency Depending on the severity, treatment may include: Diet Changes Add B12-rich foods like: Eggs Dairy Chicken and fish Fortified cereals and plant milk Supplements Oral B12 tablets are commonly prescribed for mild to moderate cases