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[20] [21] Acute Hepatitis Bacterial colonization of the small intestine Caustic burn of the stomach mucosa Chronic Atrophic Gastritis Chronic hepatitis Chronic Kidney Disease Chronic Liver Disease Diseases of the terminal ileum Fish tapeworm Genuine pernicious anemia Hepatic tumor Leukemia Malnutrition Polycythemia Pregnancy Stomach polyposis Stomach resection Strict vegetarian diet Transcobalamin 2 deficiency Sources Vitamin B-12 is naturally found in foods of animal origin including meat (especially liver and shellfish) and milk products

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Sensitivity to Food Allergy, Intolerance, and Celiac Disease - a comprehensive review

The person may also experience persistent hunger because the body cells are unable to access the glucose in the bloodstream

Rajaram S, Baylink DJ, Mohan S

Future studies with larger cell sizes should be conducted to compare sub-groups patients with different symptom profiles