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37 Gastrointestinal fermentation supports the growth of these vitamin B 12 synthesizing microorganisms, and this vitamin is subsequently absorbed and incorporated into animal tissues, such as those of ruminants

Due to changes made to your digestive system during bariatric surgery, its harder for your body to absorb this necessary vitamin

READ MORE: Americans snack much more than they used to, and it might be affecting their health Patients become B12 deficient when they take certain medications or have certain conditions that affect its absorption, including Crohns, colitis and pernicious anemia, Silverstein said

[DOI] [PMC free article] [PubMed] [Google Scholar] 350.de Castro, J

Polymorphisms in various genes involved in vitamin B 12 metabolism, including the genes encoding the intrinsic factor-cobalamin receptor (60) and the holo-transcobalamin receptor (61), have been associated with increased NTD risk in some studies