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post-gastric bypass surgery) Pregnancy Malabsorption diseases (Celiac Disease, Colitis, Crohns disease) Lack of or deficiency of stomach acid

[4] Why Vitamin B12 Can Cause Gastrointestinal Symptoms The mechanisms underlying gastrointestinal side effects from vitamin B12 supplementation are not fully established, but several factors may contribute to stomach discomfort in susceptible individuals

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