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An empty stomach reduces enzymatic breakdown and may improve peptide transport across the gut lining

[DOI] [PubMed] [Google Scholar] 77.AlOtaibi SF, Blaser S, MacGregor DL

Genetic pituitary dwarfism with high serum concentation of growth hormone--a new inborn error of metabolism

In other words, B12 deficiency in vegetarians would be due to dietary absence (or insufficient intake in the case of low consumption) and lack of supplementation

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10.3390/cells11142220 23 NieberlerM.ReuningU.ReichartF.NotniJ.WesterH.-J.SchwaigerM.et al (2017)