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This complex process means that conditions affecting the stomach or intestines can significantly impair B12 absorption, including pernicious anaemia, atrophic gastritis, previous gastric surgery, coeliac disease, Crohn's disease, and long-term use of certain medications (such as metformin, proton pump inhibitors, and H2 antagonists)

doi: 10.1007/BF02505280

Evaluate treatment approaches: Assess the treatment options that are offered, such as diet plans, exercise programs, and medical interventions

The methylation process is responsible for repairing and regenerating cells, detoxification, neurotransmitter production which influence moods and sleep, controlling homocysteine, appropriate stress response, regulating inflammation, aiding the liver in processing fats, antioxidant production, and healthy immune system function