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Medical conditions that can lead to a B12 deficiency include: Inflammatory bowel disease (IBD) Lymphoma Exocrine pancreatic insufficiency (EPI) Small intestinal bacterial overgrowth (SIBO) Chronic pancreatitis Protein-losing enteropathy (PLE) Gastrointestinal worms Liver disease Kidney disease Gastrointestinal cancer Hereditary cobalamin deficiency and low levels of dietary cobalamin are rare causes of cobalamin deficiency
Their health objectives also play an important role
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Evidence on the effectiveness of these isnt abundant at the moment but Im not against them
That number might be higher according to some studies
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