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Regulatory status varies by country

These include: Inflammatory bowel disease Coeliac Disease especially if the individual isnt following a strict gluten free diet Pancreatic insufficiency Pancreatic enzymes help to release vitamin B12 from the foods that we eat

Methodology This manuscript was designed as a narrative and integrative review rather than a systematic review, with the aim of synthesizing and critically interpreting the most relevant and mechanistically informative evidence on menstrual cycle physiology and nutrient metabolism

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10.1016/0092-8674(92)90155-6 15 BeasleyR.CraneJ.LaiC

Chloramphenicol, though rarely used in modern practice, can antagonize the hematologic response to vitamin B12 in patients with megaloblastic anemia