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"Prevalence of vitamin B 12 deficiency in South Indians with different grades of glucose tolerance"

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For example, mutations of the MTR or MTRR genes can affect the conversion of B12 to its active form, which affects the absorption of synthetic cobalamin in the body

Pernicious anemia (lack of intrinsic factor or antibodies against intrinsic factor), atrophic gastritis, and other gastroenteric diseases can cause B12 malabsorption

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