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Phosphorylation, enzyme translocation, glycerol release, and fatty-acid release can change over minutes or hours
The confusion may also arise because patients taking medications for diabetes and weight management are often advised to monitor their nutritional status, including vitamin B12 levels
Other common causes of vitamin B12 deficiency include gastrectomy, ileal resection, pancreatic insufficiency and malabsorption syndromes including Crohns disease and coeliac disease. The bottom line : for patients with the above gastrointestinal challenges, getting enough B12 into the bloodstream through oral supplementation is not possible
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