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It's the form the body uses directly

[10] [11] [2] Carboplatin [edit] Pemetrexed is also recommended in combination with carboplatin and pembrolizumab for the first-line treatment of advanced non-small cell lung cancer

The human body does not naturally have this vitamin, so it must come from our diets

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This vitamin is often present naturally in animal products

If there is no IF or limited secretion, it is not reabsorbed in the enterohepatic circuit and is excreted, meaning that the deficiency will occur sooner (as the enterohepatic recycling circuit is failing), just as if the dietary intake is inadequate, there will come a point where enterohepatic circulation will not be sufficient