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Other possible causes of a vitamin B12 deficiency pernicious anemia prolonged use of certain medications, such as metformin following a strict vegan or vegetarian diet certain infections, such as with the tapeworm Diphyllobothrium latum celiac disease older age high intake of alcohol Other nutritional supplements may also benefit someone with Crohns disease

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AOD 9604 works through direct fat mobilization

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Separately, de Macedo TSG conducted a systematic review focusing on vitamin B deficiency in three specific groups of Brazilian women: those of childbearing age, pregnant women, and lactating women [4]

Bottom line: Its almost impossible to become toxic on vitamin B12 unless you have kidney issues