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Hemorrhage is the biggest worry, as it can cause a lot of blood loss and black stool

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Secondly, forage diets encourage higher production of B12 analogs that are often antagonistic to the kind of cobalamin that the animal needs

In contrast, congenital pernicious anemia, often caused by mutations in the GIF gene, which encodes intrinsic factor, manifests in infancy or early childhood with profound vitamin B12 malabsorption, leading to severe megaloblastic anemia and developmental delays

Inhibitors of these enzymes are administered to treat various mental illnesses, whereas deficiency is associated with different clinical pictures