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First, routine screening for vitamin B12 deficiency should be incorporated into primary care for high-risk populations such as older adults, women of reproductive age, vegetarians, and patients with diabetes or chronic use of metformin or proton pump inhibitors

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This is in part due to the area of the small intestines and stomach that gluten can damage.Both areas are critical for vitamin B12 absorption.In that regard, if you are gluten sensitive, it is important to work with your doctor so that you can be properly evaluated for vitamin B12 deficiency.Nutritional testing and evaluation is extremely important and should be a primary focus with any doctor you choose to work with.In the following video, Dr

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The altered transit actually disrupts the carefully timed handoff between R-binder in the stomach and intrinsic factor in the duodenum

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