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This includes vegans and vegetarians (as B12 is primarily found in animal products), the elderly, people with gastrointestinal issues such as coeliac or Crohns disease, and individuals who have undergone gastric surgery

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The traditional correlation of homocysteine and MMA with decreasing serum vitamin B12

LuxS is another virulence factor found in Borrelia [117] as well as many other pathogens such as Bacillus anthracis [118], Staphylococcus epidermidis [119], or Haemophilus parasuis [120]

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