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Vitamin B12 deficiency is frequently linked to: malabsorption disorders, severe malnutrition, some inherited imbalances in absorption, exocrine pancreatic insufficiency (EPI), chronic gastrointestinal disease and intestinal dysbiosis
Fujihara KM, Zhang BZ, Clemons NJ
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Normal serum B12 ranges from 300-900 picograms per milliliter, but symptoms often begin below 400