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However, because gastric intrinsic factor does not bind the B12 analogs (only B12), the B12 analogs are not reabsorbed but ultimately excreted in the stool (Renz, 1999)

As an important coenzyme, it is required by every cell in the body and influences in particular: blood formation, nerve protection, cell division, DNA synthesis, neurotransmitter production, energy generation and the protein metabolism

Mol Cell Biol 2020, 40: e00099

This "purging" happens when copper peptides reset the hair cycle, pushing telogen hairs out to make way for new growth

So, there seems a possibility it is autoimmune BUT what about the low meat intake