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doi:10.1186/s41043-024-00568-6 3

The absorption of B12 is a complicated process but the two main components that are needed are the Hydrochloric acid in your stomach, which releases the B12 from food, and a protein called Intrinsic Factor which is produced in the lining of your stomach and which enables the absorption of B12 in the Ileum

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There is no gold standard test to define B-vitamin deficiencies