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Vitamin B12 deficiency is most common in adults over 50, vegans and vegetarians, pregnant women, and those with chronic health conditions like Crohns disease, inflammatory bowel disease (IBS), or rheumatoid arthritis

Moreover, elevated bile acid levels hinder the uptake and clearance of endotoxins by Kupffer cells ( The impairment of the intestinal barrier can also lead to hepatic damage via endotoxemia

I know there are those professionals who are sympathetic and treat their patients well and have taken time to look at the data that is now available

Pehar M, Vargas MR, Robinson KM, Cassina P, Diaz-Amarilla PJ, Hagen TM, et al