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Key Points for Patients It is a chronic condition: Crohns disease cannot currently be cured, but it can be managed effectively with the right treatment

If you are a strict vegetarian or vegan and do not eat any meats, dairy foods, or eggs, you will not get enough vitamin B12 from your diet alone

Most patients find that gastrointestinal side effects diminish substantially after the first 4-8 weeks, making persistence through this initial period worthwhile for many individuals who achieve significant glycaemic and weight benefits

doi: 10.1210/endo.142.8.8324

Excess cobalamin in the blood showed barely detectable binding to TC II (Andrs et al., 2013)