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Overgrowth of bacteria: Some people develop vitamin B 12 deficiency as a result of conditions that slow the movement of food through the intestines (diabetes, scleroderma, strictures, diverticula), allowing intestinal bacteria to multiply and overgrow in the upper part of the small intestine
If metabolic acidosis develops and persists, consider a dosage reduction or discontinuation (using dose tapering)
The community-derived planning ranges should not be read as clinically validated doses
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