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Conditions like pernicious anaemia (an autoimmune condition affecting a protein called intrinsic factor vital for B12 absorption), stomach issues (such as from reduced stomach acid or certain medications like proton pump inhibitors), intestinal disorders (like Crohns disease or coeliac disease), or even surgical removal of parts of the small intestine (e.g., gastric bypass surgery) can prevent proper absorption

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Additional presenting symptoms include dysphagia (difficulty swallowing), confusion, seizures, and external ophthalmoplegia

Plant Arch 20:370737019 Cheema HS, Singh MP (2021) The use of medicinal plants in digestive system related disorders: a systematic

CNS Neurol Disord-Drug Targets (Formerly Current Drug Targets-CNS & Neurological Disorders) 14(7):94755 Harsanyiova J, Buday T, Kralova TA (2020) Parkinsons disease and the gut: future perspectives for early diagnosis

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