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Some high risk groups for vitamin B12 deficiency include: elderly people- often stomach acid production decreases with age individuals who have had intestinal surgery such as weight loss surgery or laparoscopies individuals with GI issues including celiac disease, IBD, IBS (MOST OF YOU!!!) those following a vegetarian or vegan diet- due to the lack of animal protein eaten (one of the main sources of B12) individuals with pernicious anemia- do not make intrinsic factor Notice how a fair amount of the high risk individuals are those with some sort of intestinal issue

2 zeigt einen Algorithmus fr die mgliche Einordnung dieses Sachverhalts in der klinischen Praxis [23] (bitte beachten: der Re-Test nach drei Monaten ist so in der S3-Leitlinie Schizophrenie nicht empfohlen [14])

Abstract Obesity is a major and increasingly prevalent chronic metabolic disease with numerous comorbidities

Yang Y, Kimura-Ohba S, Thompson JF, Salayandia VM, Cosse M, Raz L, et al

This damage is often irreversible