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Some problems of the gut can also be a cause of vitamin B12 deficiency, but this is less uncommon, for example: surgery to remove parts of the bowel (the stomach or the end of the small intestine) Crohn's disease atrophic gastritis (where the lining of the stomach is thinned)

I've never been to the pacific northwest

This concern warrants appropriate screening and consideration of personal cancer risk factors before use

However, for highly sensitive quantitative analysis, some advanced labs may account for it

Because the EFSA bases their AI on dietary intake, we divided their daily recommendations by three, to represent three meals per day, and applied Walshs formula to determine the targeted weekly absorption