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These clinical decisions correspond to exacerbation or attenuation of the TBI-induced reduction in GI microbiome diversity over time [109]

10.3803/EnM.2015.30.2.216 60 KarranE.HardyJ

Big picture (evidence base)

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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