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Some of the most common causes of vitamin B12 malabsorption are: · Leaky gut and inflammatory bowel disease · Gut dysbiosis (imbalance in gut bacteria) · Low stomach acid (hypochlorhydria) · The auto immune condition pernicious anaemia - as the body attacks and destroys intrinsic factor, the protein that is essential for B12 absorption · Acid suppressant medications · Excessive alcohol · Vegan or vegetarian diets (plant sources are poorly absorbed) According to various studies 50% of long-term vegetarians and 80% of vegans are extremely low in B12
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