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Although vitamin B12 is water-soluble and excess amounts are typically excreted in the urine, the body still stores significant quantities (primarily in the liver) with its levels continuously regulated

it exports fat and bile from the liver which is responsible for seeing exported fat and burning it for energy and fuel

This makes injections highly effective for pernicious anaemia and other malabsorption syndromes, including post-gastrectomy states, Crohn's disease affecting the terminal ileum, and certain medications that interfere with B12 uptake

doi.org/10.1038/288715a0 Goldstein, A

Asprey follows a strict diet without snacks

Adequate levels of B12 can support memory, concentration, and cognitive function