doi:10.1530/eje.0.1510483
Less common, whole-body effects
2x/Week Intensive phase Enhanced Results With diet + exercise Consultation available to create your personalized weight loss plan Comprehensive Weight Loss Support Maximize your results by combining MIC+B12 with our Medical Weight Loss Program or enhance with IV vitamin infusions for complete wellness support.

Cyanocobalamin is indicated for Vitamin B12 deficiencies due to malabsorption which may be associated with the following conditions: Addisonian (pernicious) anemia Gastrointestinal pathology, dysfunction, or surgery, including gluten enteropathy or sprue, small bowel bacterial overgrowth, total or partial gastrectomy Fish tapeworm infestation Malignancy of pancreas or bowel Folic acid deficiency It may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see Drug/Laboratory Test Interactions), use of a gluten-free diet in nontropical sprue, or administration of antibiotics in tropical sprue
First, when you take a pill, it has to be digested and metabolized through the liver or kidney through what is called the first-pass effect