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Surgical procedures or conditions that affect the gut, such as gastric bypass surgery or celiac disease, can prevent intrinsic factors from binding to B12 and prevent the body from breaking it down before absorbing the vitamin
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[Crossref] Holven KB, Aukrust P, Holm T, Ose L, Nenseter MS (2002) Folic acid treatment reduces chemokine release from peripheral blood mononuclear cells in hyperhomocysteinemic subjects
[30] Borderline vitamin B12 levels are also more common in patients treated with metformin [2,4,5,19,32]
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