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It happens when your body doesnt have enough healthy red blood cells to carry oxygen, often caused by low iron, chronic illness, or vitamin deficiencies

Role of Gut Health and the Pancreas in B12 Absorption Understanding why the gut and pancreas matter so much for vitamin B12 absorption helps make sense of why treating the underlying condition is as important as supplementing the vitamin itself

Additionally, GLP-1 receptor activity in the gut may affect intrinsic factor secretion and B12 absorption

Thats why nowadays their feed is supplemented with extra cobalt or even B12