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This includes: People with Pernicious Anemia: An autoimmune condition that prevents the absorption of B12 from the gut

Many foods are rich in vitamin B6, and you should be sure to include them in your diet

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Results from this study suggest that hepatic fat export in periparturient dairy cows is improved by choline supplementation during the transition period and this may potentially decrease the risk for metabolic disorders in the periparturient dairy cow.12 Choline is also known to be involved in the synthesis of carnitine, cell membrane phospholipids, and the neurotransmitter acetylcholine