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Source of Vitamin B12, Image Credit: marina_ua / Shutterstock Causes Vitamin B12 deficiency may arise due to: Nutritional deficiency especially in elderly individuals on restricted diets, and alcoholics Malabsorption syndromes such as pernicious anemia Gastrointestinal disorders leading to malabsorption such as atrophic gastritis or H2-receptor blocker use for prolonged periods Others such as Whipples disease or Crohns disease, intestinal surgery or strictures with resulting bacterial overgrowth that competitively take up vitamin B12 in the ileum Clinical features Hematologic Classically, vitamin B12 deficiency has been associated with megaloblastic macrocytic anemia

Eat a healthy, balanced diet, exercise regularly and get enough sleep every night

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All of these elements coalesce into an actively regulated, dynamic structure whose purpose is to absorb beneficial molecules such as nutrients, vitamins, microbial metabolites, and ions while excluding pathogenic bacteria, bacterial toxins, and other harmful substances [6]

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