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B12 is excreted (from 1-10ug (micrograms) per day) in the bile and reabsorbed

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Whether and how any of this translates into a meaningful outcome for a specific individual is exactly the kind of question that belongs in a clinical evaluation, not a generalized article

B12 deficiency can be caused by certain types of anemia, gastrointestinal conditions that affect absorption, or dietary restrictions such as strict vegetarian or vegan diets