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If the cause of your lack of vitamin B12 is diet related rather than due to pernicious anaemia then treatment may be different

Effect of single anastomosis duodenal-ileal bypass with sleeve gastrectomy on glucose tolerance test: comparison with other bariatric procedures

For example, Vitamin D deficiency may reduce intestinal calcium absorption, causing gut stasis and subsequent IPC, which would allow gut microbiota to transfer more endotoxins into the blood and trigger inflammatory cytokines production within the CNS (249)

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