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In order to absorb B12 in the terminal ileum, the stomachs parietal cells produce a glycoprotein referred to as Intrinsic Factor (IF)

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Conditions affecting any stage of this absorption pathwayincluding pernicious anaemia (an autoimmune condition destroying intrinsic factor-producing cells), Crohn's disease, coeliac disease, or surgical removal of stomach or ileal tissuecan significantly impair B12 absorption despite its water-soluble properties

Orlistat is currently the only marketed anti-obesity drug of this category licensed for the treatment of obesity (including weight loss and weight maintenance)

Connor K, Wamsley R