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However, certain dietary choices and eating patterns can indirectly affect B12 levels by displacing B12-rich foods, altering gut pH, or contributing to malabsorption

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only a little comes from food

Vitamin B12 is a cofactor in synthesizing methionine, which is essential for protein formation.[ref] If you are deficient in B12 or folate for a long time, you can develop megaloblastic anemia

The receiver operating characteristic curve was plotted, and the area under the receiver operating characteristic curve (AUC) and the cut-off value were calculated to evaluate the models predictive value for cirrhosis occurrence