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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

"It is particularly prevalent in high rainfall areas (450mm rain per year), where improved, irrigated or fertilised pastures can grow rapidly, such as a spring flush." Symptoms of clinical deficiency in young livestock include scouring

Reference: Liu M et al

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