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However, because many people live undiagnosed for years with autoimmune conditions like celiac disease or Hashimoto's (and often both), it can often show up around the same time

It's relatively stable and converts easily into active forms in the body
and Ramsay, M.R

Unlike fat-soluble vitamins that require fat for absorption and are stored in the liver, water-soluble vitamins like B12 are processed more quickly by the body and are not stored for long-term use

Elevated blood homocysteine and risk of Alzheimer's dementia: an updated systematic review and meta-analysis based on prospective studies
