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Absorption issues: Some people consume enough B-12 but still develop a deficiency because their body cant absorb it effectively

The remaining 25 articles were included in the qualitative synthesis, and 16 in the quantitative synthesis (Figure 1)

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If a consumer is harmed by a poor-quality product, it would be difficult to sue the seller, since the products specifically say they are not for human consumption. Ultimately, consumers are being led to spend money on products that may never arrive, could cause an infection, might not have the correct dose, and contain no instructions on how to safely use or store the product

Others can be triggered by outside factors, such as pollution, radiation, medicines or something in the diet