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These symptoms develop gradually because the body stores several years worth of B12 in the liver, meaning deficiency takes time to become clinically apparent
[DOI] [PMC free article] [PubMed] [Google Scholar] 229
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2023;11:e006728
SkrovanekSDiGuilioKBaileyRHuntingtonWUrbasRMayilvagananBet al
This theoretically could occur directly via microbial-associated molecular patterns (MAMPS) or indirectly through microbial release of metabolites
