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Research shows that around 50 percent to 60 percent of ingested vitamin B12 is usually absorbed when enough intrinsic factor is present in relation to B12, but absorption decreases drastically when this ratio changes

Jan 4 2021;4(1):e2031846

The metabolic state created by significant caloric restriction activates pathways that break down muscle tissue to provide amino acids for gluconeogenesis and other essential processes

One possible explanation for normal B 12 levels in B 12 deficiency is antibody interference in people with high titres of intrinsic factor antibody