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This is due to various factors, including poor diets, malabsorption of vitamins, and certain medical conditions and medications which can contribute to lower levels of vitamin B12 in the body
References Zheng Y, Ma AG, Zheng MC, Wang QZ, Liang H, Han XX, Schouten EG
Animal studies have shown that it can protect the gastric mucosa from damage induced by NSAIDs, alcohol, and stress
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