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Description
There was a maturation of collagen fibers, as easily seen under Masson trichrome and Sirius red staining

B12 deficiency is more common with age, hypochlorhydria, small intestinal bacterial overgrowth, gastrointestinal bypass surgery, alcohol use, following a vegetarian or vegan diet, and use of medications such as proton-pump inhibitors, metformin, and hormonal contraceptives

Halili et al

Kawahara T, Ritsick D, Cheng G, et al
