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There is no completed human evidence, and individual results are unknown
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 bacteria 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 Interactions), use of a gluten-free diet in nontropical sprue, or administration of antibiotics in tropical sprue

Two common production techniques for bioactive peptides are enzymatic hydrolysis and microbial fermentation , which are both ways to break proteins down into smaller peptides or individual amino acids.12 The realm of bioactive peptides is somewhat limited because, remember, peptides can easily break down in the digestive tract, and many are too molecularly large to permeate the skin or intestinal lining.5 But there are several peptide varieties that are readily bioavailable by oral or transcutaneous administration, such as collagen and GHK-Cu