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While non-typhoidal Salmonellae retain an intact B12 pathway, this is inactivated in the typhoidal human pathogens 5

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Pancreatic Insufficiency: The pancreas helps with B12 absorption, and not enough of it can cause deficiency

Some individuals might experience gastrointestinal disturbances, such as nausea or diarrhea, primarily due to the bodys reaction to the increased flow of bile and fat metabolism

The body typically absorbs vitamin B12 in the small intestine, but for some, the absorption process doesnt work as efficiently as it should