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In the primary healthcare setting, the most commonly seen causes of vitamin B12 deficiency are related to abnormalities of digestion (atrophic gastritis, achlorhydria or the consequences of gastrectomy) or absorption (autoimmune pernicious anaemia, chronic pancreatitis, Crohns disease, the effect of medications that alter the mucosa of the ileum, or the consequences of surgical resection), and, to a lesser extent, a lack of exogenous supply

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The truth is the all compulsive behaviors are on the uptick and things like gambling and sex addiction can be just as destructive as drug addiction and alcoholism

Serious Side Effects : Rarely, allergic reactions can occur

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