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Other reasons that may cause low vitamin B12 deficiency in the body include alcohol consumption, having Sjgren's syndrome over six times, age-related factors such as chronic atrophic gastritis, and rare genetic disorders such as Imerslund-Grsbeck syndrome, and autoimmune conditions such as lupus or type 1 diabetes are associated with an increased risk of low B12

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However, periodic breaks can still help assess progress and ensure continued effectiveness

Discussion Our results showed that oral signs and symptoms and blood examination abnormalities were more common and also more severe in patients with a history of gastrectomy