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Stromal vascular cells grown out of MSL fat tissue resulted in multiloculated adipocytes consistent with brown adipocytes (277,278)

Thomas RH, Foley KA, Mepham JR, Tichenoff LJ, Possmayer F, MacFabe DF

Vegans and Vegetarians: B12 is found almost exclusively in animal products, so those on plant-based diets must use fortified foods or supplements Older Adults: reduced stomach acid can decrease B12 absorption from food as we age People with Pernicious Anemia: this autoimmune condition prevents the body from making intrinsic factor, a protein needed for B12 absorption Individuals with Gastrointestinal Conditions: diseases like Crohn's or Celiac disease can impair nutrient absorption Patients Who Have Had Gastric Surgery: procedures like gastric bypass can reduce the body's ability to absorb B12 Certain Medications: drugs such as Metformin and proton pump inhibitors (PPIs) can interfere with B12 absorption Medically-Approved vs

This may impair monitoring based on total serum valproate levels