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This includes patients with pernicious anemia, a condition where the body cannot absorb B12 from food
Conditions such as reduced stomach acid, digestive disorders, or certain medications can interfere with this process, meaning someone can consume enough B12 yet still become deficient
Vitamin B12 absorption begins in the mouth but mainly occurs in the stomach and small intestine with the help of intrinsic factor, a protein that helps your body absorb B12. Weight loss surgery results in anatomical changes, such as a smaller stomach, reduced stomach acidity, and changes to the small intestine, that can lead to vitamin B12 malabsorption and decreased intrinsic factor secretion
Choline Fact Sheet for Health Professionals
A strong fan-shaped ligament on the medial ankle providing stability against eversion forces
