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The biggest single cause in the UK is autoimmune gastritis, the condition older guidance called pernicious anaemia
Because these surgeries bypass the part of the gut where absorption happens, the American Society for Metabolic and Bariatric Surgery notes that lifelong injections are often required

Cartilage Biology Krishnan et al
[DOI] [PubMed] [Google Scholar] 113.Guan XM, Chen H, Dobbelaar PH, et al
