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Individuals with Gastrointestinal Disorders: Such as Crohns disease, celiac disease, atrophic gastritis, or those who have had gastric bypass surgery or other stomach/intestinal resections, which can interfere with B12 absorption

(7) These are observational cohorts with their own populations, confounders, and limits, so the numbers describe an association in a group, not a prediction for an individual

There are differences in practice between countries, with Canada and Sweden favoring use of oral vitamin B 12

This makes it the preferred route when a patient cannot absorb B12 through the gastrointestinal tract

Observed outcomes include potential increases in muscle area as well as decreases in intramuscular fat content