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Description
Because cobalamin in normally absorbed from food through the gastrointestinal tract, chronic diseases that adversely affect the ability of the intestines to absorb nutrients (inflammatory bowel disease is an excellent example) can lead to cobalamin deficiency
However, megadosing (taking excessive amounts of vitamin B12) may lead to some negative side effects

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Less commonly, nausea, fatigue, headache or dizziness can occur.
