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[77] For gut bacteria to produce vitamin B 12 , the animal must consume sufficient amounts of cobalt

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Consult a healthcare provider before supplementing if you: Take blood thinners (vitamin D affects clotting) Use metformin, or proton pump inhibitors (both affect B12 absorption) Have kidney disease (impairs vitamin D metabolism) Have a history of kidney stones (excess vitamin D increases risk) Are being treated for any chronic condition Testing first ensures you get the right dose