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(Dali-Youcef and Andrs, 2009) Other people at risk include those who have had intestinal surgeries, or have chronic conditions which affect the gut , such as Crohns disease or celiac disease (Dahele and Ghosh, 2001)

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MTHFR and Vitamin B12 Absorption The MTHFR genetic mutation has a negative effect on B12 absorption, with studies showing an increased prevalence of low blood levels of vitamin B12 in those with the mutation