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In many cases, this stems from absorption issues that are easy to overlook, such as age-related digestive changes or interactions with certain medications
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Lexchin JR et al
Endocrinology 127 (5), 22172222
Other indications include malabsorption disorders (such as Crohn's disease or coeliac disease), following gastric surgery, strict vegan diets without supplementation, and certain medications that interfere with B12 absorption
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