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This includes people with: Pernicious anaemia (autoimmune destruction of intrinsic factor-producing cells), typically requiring lifelong IM injections Crohn's disease or surgical resection affecting the terminal ileum Coeliac disease causing malabsorption (may improve with gluten-free diet) Chronic pancreatitis reducing enzyme availability needed for B12 release Vegans and strict vegetarians need reliable B12 sources through fortified foods or supplements, as plant-based diets contain negligible amounts of active B12

Each component plays a specific role in maintaining body functions

This blog post will explain how to get a vitamin B12 blood test and what the results might mean

In: Proceedings of the 3rd Shandong Province Academic Symposium on Integrated Traditional Chinese and Western Medicine Neurology, pp320323