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I wasnt able to find any reliable evidence or details regarding whether a mild B12 deficiency can exacerbate B12 malabsorption, but the possibility raises concerns

(2) M A Heffernan 1, A W Thorburn, B Fam, R Summers, et al (2001) Increase of fat oxidation and weight loss in obese mice caused by chronic treatment with human growth hormone or a modified C-terminal fragment International Journal of Obesity and Related Metabolic Disorders, 2001 Oct, Volume 25 (Issue 10), Pages 1442-9
