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He will also ask about any underlying health conditions that can impact B12 absorption, such as digestive disorders (like Crohns disease or celiac disease), past surgeries (including gastric bypass), or dietary patterns common in families, such as vegetarian or vegan diets

Estimated Read Time: 1012 minutes Summary: Vitamin B12 deficiency and the anemia associated with it can develop for many reasons, including dietary limitations, gastrointestinal malabsorption, certain medications, or autoimmune conditions

Physiol Rev doi: 10.1152/physrev.00018.2018

This softening generally persists for 2448 hours and is considered a clinical indicator of effective plaque disruption