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Any issue that can affect the stomach, pancreas or the last 3-4 cm of the small bowel (called the terminal ileum): Stomach: gastrectomy, gastric bypass Pancreas: chronic pancreatitis, removal of the pancreas Terminal ileum: Crohns disease, coeliac disease (an allergy to gluten requiring a very strict gluten-free diet), removal of terminal ileum, ileostomy, radiotherapy to the pelvis (e.g

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Ann Intern Med 158:526534 Ethics declarations Conflict of interest The authors declare that they have no conflict of interest

New guidelines suggest expanding the use of B12 injections in the elderly with cognitive decline