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PMID 19542209
However, since small intestinal permeability was significantly higher in patients with alcoholic liver diseases than in patients with chronic alcohol abuse in the absence of liver disease, the direct barrier toxicity of alcohol does not fully account for the permeability defect (155)
doi: 10.1055/s-0028-1088314 31

doi: 10.1161/circresaha.116.306819

Many of these symptoms are not specific to B12 deficiency but can also occur in other disorders

This is because the 4-OH metabolites can create reactive products that damage DNA
