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As recurrent respiratory infections in many cases might result from microaspiration or gastro-oesophageal reflux (239), they have also been suggested to be associated with a commonly diagnosed hypogammaglobulinemia (110, 116)

B12 absorption in the gut can be affected by certain medications

The appropriate choice of the chemical form of vitamin B 12 , the dose, and treatment time will depend on individual factors such as the type of vitamin B 12 deficiency, age, preexisting diseases, type of methylation gene, and medication used

or if you are receiving any medication or treatment that affects bone marrow

So like when he gave it to young monkeys, the monkeys had no effect

This can lead to B12 deficiency, which can cause symptoms such as fatigue, weakness, and difficulty concentrating