Vitamin B12, bound to protein in food, is released by the activity of hydrochloric acid and gastric protease in the stomach. A healthy body can absorb about 50 to 60% of the vitamin B12 it consumes, because the capacity of intrinsic factor, a gastric glycoprotein that aids in B12 absorption, is limited. When oral doses of B12 exceed one or two mcg at a time, the body's ability to absorb the nutrient decreases. Therefore, experts recommend obtaining multiple small doses through food, or a larger supplemental dose, to maintain optimal B12 levels.

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