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Absorption problems Even with adequate intake, absorption can be reduced by: Certain gastrointestinal conditions affecting the stomach or small intestine Some medications Age-related reduction in stomach acid (which can affect absorption) Autoimmune gastritis (often historically referred to as pernicious anaemia) This is a well-recognised cause of B12 deficiency and may require ongoing management

10.3390/biomedicines12051098 94 JiangJ.NiL.ZhangX.GokulnathP.VulugundamG.LiG.et al (2023)

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The distributed nature of endometriosis care across multiple specialties complicates training coordination (Riazi et al., 2014)