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50% of the bodys storage of vitamin B12 is kept within the liver, no matter how it is administered, so if the liver is sick, in all likelihood, a person can suffer B12 deficiency
Nocini R, Henry BM, Mattiuzzi C, Lippi G
Nat Rev Dis Primers 3 , 17040 (2017)
Subtle and atypical cobalamin deficiency states
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