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The combination of multiple medications affecting gastrointestinal motility should be carefully evaluated, and patients should be monitored for both efficacy and tolerability
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Several conditions interfere with the guts ability to absorb cobalamin effectively: Inflammatory bowel disease: Chronic inflammation of the small intestinal lining damages the cells responsible for absorbing nutrients, including B12
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These amino acids can then be taken up by cells and resynthesized into glutathione intracellularly
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