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The surface mucus layer is believed to impede the ingress of intact bacteria and large particulates toward the mucosa [8,9,10]

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Share your interest in GLP-1 medications and discuss how the combination will be managed

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Absorption problems Even with adequate intake, absorption can be reduced by: Certain gastrointestinal conditions affecting the stomach or small intestine Some medications Age-related reduction in stomach acid (which can affect absorption) Autoimmune gastritis (often historically referred to as pernicious anaemia) This is a well-recognised cause of B12 deficiency and may require ongoing management