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Your Overall Health Underlying health conditions, such as gastrointestinal disorders (like Crohns disease, celiac disease, or atrophic gastritis) that impair nutrient absorption, or certain medications you may be taking, can influence how your body absorbs and utilizes B12

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2) elevated release of vitamin B 12 from liver storage and decreased vitamin B 12 hepatic clearance

they play a key role in the development of diabetic nephropathy
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