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When you swallow a B12 pill, several steps have to work for it to be absorbed: stomach acid and the enzyme pepsin must release B12 from food or the supplement, the stomach must secrete a protein called intrinsic factor that binds to B12, and the B12-intrinsic factor complex must reach the ileum (the end of the small intestine) where it is finally absorbed

When you move your arm during the day, you can distract yourself from the pain, while at night, the pain can be more noticeable and difficult to ignore

A wide range of symptoms can be experienced from vitamin B12 deficiency, which can exacerbate if left untreated