Malabsorption can occur for many reasons including Celiac disease, a lack of gastric acid, Small Intestinal Bacterial Overgrowth (SIBO), a lack of digestive enzymes, or a parasitic infection
10.1016/j.jagp.2023.08.010 13 ChenJ.HsuT.LiuJ.PanH.LaiC.YangS.et al (2025)
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Regarding the form of vitamin B12 used, cyanocobalamin was the most common (n = 14), followed by methylcobalamin (n = 6), hydroxocobalamin (n = 4), and combinations including adenosylcobalamin in isolated cases
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