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(Dali-Youcef and Andrs, 2009) Other people at risk include those who have had intestinal surgeries, or have chronic conditions which affect the gut , such as Crohns disease or celiac disease (Dahele and Ghosh, 2001)

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This flexibility is a hallmark of metabolic health and is often impaired in individuals with obesity or insulin resistance

After the deficiency is fixed, injections might be needed only once a month