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Strict vegetarians and vegans can run low on fortified foods or supplements
Some problems of the gut can also be a cause of vitamin B12 deficiency, but this is less uncommon, for example: surgery to remove parts of the bowel (the stomach or the end of the small intestine) Crohn's disease atrophic gastritis (where the lining of the stomach is thinned)
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[58] This section has also been interpreted by some doctors, most notably [67] the authors of a commentary article published in the Journal of the American Medical Association in 2005, as meaning that prescribing HGH off-label may be considered illegal
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