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The absorption process requires adequate stomach acid, intrinsic factor production, and healthy small intestine function

AHK-Cu (Alanyl-Histidyl-Lysine:Copper) is a synthetic copper tripeptide that stimulates dermal papilla cell proliferation, extends hair follicle elongation in ex vivo human follicle culture, upregulates VEGF expression for perifollicular blood supply, and reduces follicular cell apoptosis

but that discomfort is nothing compared to a lifetime of neurological damage and suffering from an untreated B12 deficiency

B12 is added because it directly supports red blood cell formation, neurological function, and steady daily energy

Older adults A 2015 review suggests that adults over the age of 60 may be more likely to have a vitamin B12 deficiency