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Vitamin B12 is an essential nutrient which is required by the body to make red blood cells and maintain a healthy nervous system

The role of microbiota-gut-brain axis in neuropsychiatric and neurological disorders
Elevated inflammatory markers beyond the first week or two suggest a healing environment that has become counterproductive
Drug Metabolism: Current Concepts

[2] Causes are usually related to conditions that give rise to malabsorption of vitamin B 12 , particularly autoimmune gastritis in pernicious anemia
