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Large amounts of B-12 are found in such foods as fish and beef, with smaller amounts in dairy products like cheese, yogurt, and eggs

The most important target for fat metabolism is hormone-sensitive lipase (HSL), the rate-limiting enzyme in triglyceride breakdown

Long-term perspective separates people who succeed with the switch from those who abandon treatment

Cause of Low B12 levels Pernicious anaemia vegan diet malabsorption syndromes coeliac sprue Crohn's ulcerative colitis (UC) "food-bound cobalamin malabsorption syndrome" predisposing factors include atrophic gastritis, long term proton pump inhibitor or H2 antagnoist use, chronic alcoholism, gastrectomy/gastric bypass surgery, pancreatic exocrine failure, AIDS myeloma (paraprotein related assay interference) pregnancy combined oral contraceptive pill/HRT pancreatric insufficiency metformin, acute phase situations