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Malabsorption (inadequate intake of vitamin B12 in the intestine) Insufficient production of intrinsic factor (a protein that is produced in the gastric mucosa and is required for the absorption of vitamin B12), Diseases in the terminal part of the ileum (part of the small intestine), eg

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Several recent reviews on the use of microbial cells as adsorbents of mycotoxins are available (Vila-Donat et al., 2018

In our professional experience, the most critical factor is consistent adherence to a sustainable plan that includes a calorie deficit and regular activity