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Constipation leads to stagnant fecal matter that finds itself sitting in the diverticula pouches

Measurements of serum vitamin B 12 may not reliably detect deficiency, and measurement of serum homocysteine and/or methylmalonic acid should be used to confirm deficiency in asymptomatic high-risk patients with low normal levels of vitamin B 12

Vitamin B12, also known as cobalamin, is an essential nutrient that plays several important roles in the body

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[12] [13] If symptomatic gallstones are confirmed, treatment options range from conservative management to laparoscopic cholecystectomy (surgical removal of the gallbladder), depending on symptom severity and frequency