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This includes vegans and vegetarians, older adults, individuals with atrophic gastritis, pernicious anemia, gastrointestinal disorders, those who have had gastrointestinal surgery and people who take certain medications including, but not limited to, estrogen (HRT), and birth control pills

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Causes In most cases, pathologically elevated cobalamin levels underlie certain diseases or organ dysfunctions , especially those affecting liver tissue

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If left untreated, it can also lead to neurological damage

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