Malabsorption: Low B12 levels are almost never due to diet. Some low B12 levels are not deficiencies but are due to low levels of the proteins in blood that bind B12. If truly low B12 malabsorption is present. Missing intrinsic factor (normally made in stomach) causes pernicious anemia. Disease or surgical absence of the terminal ileum (sm intestine) will also cause malabsorption of B12.
Answered 6/24/2014
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