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Surgical Factors: Gastric surgeries that affect intrinsic factor production can also lead to pernicious anemia
Moreover, the altered gut environment in IBD, characterized by dysbiosis and bacterial overgrowth, may further exacerbate vitamin B12 deficiency, as some bacterial species can compete for or deplete cobalamin in the gastrointestinal tract

Those with inflammatory bowel, leaky gut, allergies, skin issues, constipation or diarrhea, fatigue, anxiety, and depression

Anyone with Atrophic Gastritis or Hypochlorhydria as a result of conditions like H
