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doi: 10.1038/s41467-024-47199-3
References Sloan, G., Selvarajah, D

Common causes include: Pernicious anaemia Malabsorption disorders (e.g., coeliac disease, Crohns) Chronic alcohol abuse Long-term use of antacids or metformin Vegan or vegetarian diet without supplementation 3

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In addition to in-house controls, each batch undergoes independent third-party laboratory testing and is evaluated within controlled clinical study frameworks