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Moreover, the altered gut environment in IBD, characterized by dysbiosis and bacterial overgrowth, may further exacerbate vitamin B12 deficiency, as some bacterial species can compete for or deplete cobalamin in the gastrointestinal tract

It is also used for peripheral neuropathy (pain in nerves, usually in lower limbs) and anaemia (low red blood cells)

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doi: 10.1093/nar/gkr483 63 XiongH.HeH.ChangY.MiaoB.LiuZ.WangQ.et al

645 However, the primary endpoint of improved SNCV was not met, and further studies remain uncertain