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[DOI] [PubMed] [Google Scholar] Zhang T

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Lastly, she says that people with gastrointestinal disorders such as pernicious anemia, celiac disease, Crohn's disease or those taking specific medications may experience impaired B12 absorption, and proper supplementation can help maintain optimal levels

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These signs may appear subtly, growing worse over time, or they might suddenly emerge all at once with noticeable intensity