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Additionally, Pernicious anemia, an autoimmune condition affecting the stomachs ability to produce intrinsic factor (a protein necessary for B12 absorption), can also lead to deficiency

Medications: acid-reflux drugs (PPIs) and some diabetes medications (such as metformin) can interfere with B12 absorption

Journal of Physiology-Paris, 97(1), 15-25

Abstract Objectives: Many observational studies evaluate the association between vitamin B12 and non-alcoholic fatty liver disease (NAFLD)

However, its important to work with professionals who understand your unique needs and can customize your treatment for optimal results