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The TGA does not regulate clinical practice for prescribing clinicians

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Conditions such as Crohns disease or Celiac disease can inflame the gut lining, making it difficult for the small intestine to absorb B12 efficiently

57 Positive effects of B12 on homocysteine levels have also been observed in other patient populations, including healthy adults, 46 vegetarian women, 58 generally healthy women, 59 older adults with elevated MMA and homocysteine, 37 and patients with type 2 diabetes mellitus