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Immune system disorders, such as Graves' disease or lupus, are also linked to vitamin B12 deficiency

BJOG: An International Journal of Obstetrics & Gynaecology , 115(11), 1382-1391

Metformin, a medication for individuals with type 2 diabetes mellitus, was found to decrease vitamin B 12 absorption possibly by tying up free calcium required for absorption of the IF-B 12 complex (143)

More sustained changes in performance or metabolic support typically occur over several weeks

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