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In addition to the conditions mentioned above, several risk factors increase the likelihood of B12 deficiency: Smoking Alcohol abuse Endocrine-related autoimmune disorders (such as diabetes or thyroid disorders) Gastrointestinal disorders like Crohns disease History of gastric bypass surgery or other stomach-altering surgeries Optimize Your Health

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Furthermore, elevated plasma Hcy levels have been associated with decreased levels of HDL-cholesterol and disturbances in plasma lipid profiles, potentially leading to fatty liver accumulation (Obeid and Herrmann, 2009)

doi: 10.1016/j.foodchem.2024.140849