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Inflammation in the liver also affects how the body uses energy and reduces the breakdown of fats and proteins

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Other common causes of vitamin B12 deficiency include gastrectomy, ileal resection, pancreatic insufficiency and malabsorption syndromes including Crohns disease and coeliac disease. The bottom line : for patients with the above gastrointestinal challenges, getting enough B12 into the bloodstream through oral supplementation is not possible

Mild signs of hypersensitivity: itching or rash

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