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Lastly, the liver converts B12 to the active forms adenosylcobalamin and methylcobalamin for utilization' (Pacholok, 2013) A deficiency of intrinsic factor, which is required for vitamin B12 to be absorbed in the intestines is a common reason vitamin B12 from food is not absorbed very well

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Parasutterella colonization has been shown to alter tryptophan, tyrosine, and xanthine metabolism in mouse cecal samples 61
