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It occurs naturally in foods like meat, fish, milk, and eggs, so its already a part of most peoples diets
Low levels could be caused by pernicious anemia, not consuming enough vitamins through your diet, or as a side effect of some medications
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In cases of compromised stomach functioning, B12-fortified foods and/or B12 supplements allow for better absorption of this nutrient
Methylmalonic acid, if not properly handled by B 12 , remains in the myelin sheath, causing fragility
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