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10.1124/dmd.113.054254 17 SikiricP.RucmanR.TurkovicB.SeverM.KlicekR.RadicB.et al (2018)

The main causes of a vitamin B12 deficiency are as follows: Malabsorption due to poor intestinal health (inflammation, bacteria, fungal infection, parasites, disturbed intestinal flora) due to a lack of transport molecules (intrinsic factor), genetic diseases (cobalamin disease) or medications that hinder uptake