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Any problem that causes poor absorption in the stomach or small intestine, such as Crohns disease
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According to Digestive System and Nutrient Needs of Meat Goats by Purdue Extension, Sulfur produces thiamine-like compounds called analogs that decrease the absorption of thiamine in the rumen. There are many possible sources of excessive sulfur, including: water sources, alfalfa, cruciferous plants, distillers grains, and corn, sugar beet, and sugar cane byproducts
Also, individuals who have undergone certain surgical procedures, including intestinal resection, bypass, or bariatric surgery, which may reduce Vitamin B12 absorption, are also eligible