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Malabsorption of Vitamin B12 In The Small Intestine Many stomach and intestinal diseases can affect cobalamin (or vitamin B12) absorption in the small intestine

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Other groups that are at a greater threat of having a vitamin B12 deficiency consist of cigarette smokers (given that nicotine could obstruct absorption), alcoholics, those with anemia, and any individual with a gastrointestinal condition like Celiac or Crohns illness

B12 deficiency can distort HbA1c results, but the direction is variable results may be spuriously low or high depending on the degree of anaemia, red cell changes, and the assay used

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