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Cause of Low B12 levels Pernicious anaemia vegan diet malabsorption syndromes coeliac sprue Crohn's ulcerative colitis (UC) "food-bound cobalamin malabsorption syndrome" predisposing factors include atrophic gastritis, long term proton pump inhibitor or H2 antagnoist use, chronic alcoholism, gastrectomy/gastric bypass surgery, pancreatic exocrine failure, AIDS myeloma (paraprotein related assay interference) pregnancy combined oral contraceptive pill/HRT pancreatric insufficiency metformin, acute phase situations

Inhibition of DNA replication in maturing red blood cells results in the formation of large, fragile megaloblastic erythrocytes

This peptide works by activating lipolysis and enhancing the bodys ability to metabolize stored fat, making it a valuable option for individuals struggling with stubborn fat areas or metabolic resistance

G., Voos, J

Low vitamin B12 but not folate is associated with incident depressive symptoms in community-dwelling older adults: a 4 year longitudinal study