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After first-line treatments and diagnostics, including diet change, addition of probiotics, and fecal analysis, were performed, a GI panel determined serum cobalamin, folate, and trypsin-like immunoreactivity

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(20) Intestinal problems: Because B12 is absorbed in the intestines, any disease that impairs intestinal function can interfere with B12 absorption

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If you or a family member has a history of Lebers Optic Neuropathy, do not take B12, as it may cause permanent vision loss