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DNA Synthesis: The vitamin is necessary for DNA replication and repair, which is critical for cell division and overall health

Surgical procedures or conditions that affect the gut, such as gastric bypass surgery or celiac disease, can prevent intrinsic factors from binding to B12 and prevent the body from breaking it down before absorbing the vitamin

Sometimes laboratories apply criteria such as no need to check B12 levels simply because the MCV and hemoglobin are normal and there are no abnormalities in the blood count, and they consider that since there is no established megaloblastic anemia, B12 will be normal

This is why cyanocobalamin is the form of B12 I recommend for most people