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Conditions like pernicious anaemia (an autoimmune condition affecting a protein called intrinsic factor vital for B12 absorption), stomach issues (such as from reduced stomach acid or certain medications like proton pump inhibitors), intestinal disorders (like Crohns disease or coeliac disease), or even surgical removal of parts of the small intestine (e.g., gastric bypass surgery) can prevent proper absorption

Our friends at TrustPointe have provided the following detailed explanation to help interpret the results of the endotoxin testing

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Imerslund-Grsbeck syndrome is an inherited vitamin B 12 malabsorption syndrome that causes megaloblastic anemia and neurologic disorders of variable severity in affected subjects

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