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While there may not be a direct cause-and-effect relationship, an unexplained or persistent Vitamin B12 deficiency warrants further exploration to rule out a serious condition, even a hidden malignancy

Can Vitamin B12 Deficiency Be A Sign Of Cancer

Chronic gastrointestinal diseases can also cause vomiting, diarrhea and weight loss in dogs, and may also cause the digestive system to be damaged or altered, which results in less vitamin B12 absorption

GLP-1 receptor agonists and reduction of cardiometabolic risk: Potential underlying mechanisms

IECs also maintain two-way communication with the underlying immune cells to regulate the inflammatory response against bacterial toxins 21