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Kommt es bei einem dieser Stoffe zu langfristigen Engpssen, kann es natrlich auch zu einem entsprechenden Mangel kommen

Other common causes of vitamin B12 deficiency include gastrectomy, ileal resection, pancreatic insufficiency and malabsorption syndromes including Crohns disease and coeliac disease. The bottom line : for patients with the above gastrointestinal challenges, getting enough B12 into the bloodstream through oral supplementation is not possible