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Gastrointestinal issues : Conditions such as Crohn's disease , Celiac disease , gastric bypass surgery , or other digestive disorders can impair B12 absorption

HPLC recovery data showed approximately 80% peptide structural integrity after simulated gastric passage substantially higher than most peptides, which typically show near-complete degradation under equivalent gastric conditions

[DOI] [PMC free article] [PubMed] [Google Scholar] 18.The effectiveness of family medicine-driven interprofessional collaboration on the readmission rate of older patients

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Your body may struggle to absorb B12 properly if you have a condition like pernicious anaemia, atrophic gastritis, or Crohns disease