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Body mass index and mortality: A meta-analysis based on person-level data from twenty-six observational studies

pmid:29040465CrossRefPubMedGoogle Scholar Harrington DJ

However, there is a lack of clear evidence that reduced serum vitamin B-12 induced by these drugs leads to biochemical or functional vitamin B-12 deficiency, as indicated by circulating methylmalonic acid and homocysteine concentrations, or to the hematologic and neurological manifestations of clinical deficiency

Certain Medical Conditions Some medical conditions, medications or surgeries, such as intestinal surgery, can interfere with the absorption of vitamin B12 in the gut