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doi: 10.1002/bip.10257

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This includes people with: Pernicious anaemia (autoimmune destruction of intrinsic factor-producing cells), typically requiring lifelong IM injections Crohn's disease or surgical resection affecting the terminal ileum Coeliac disease causing malabsorption (may improve with gluten-free diet) Chronic pancreatitis reducing enzyme availability needed for B12 release Vegans and strict vegetarians need reliable B12 sources through fortified foods or supplements, as plant-based diets contain negligible amounts of active B12

This condition exists in two main forms: non-alcoholic fatty liver disease (NAFLD) , which affects individuals who drink little or no alcohol, and alcohol-related liver disease (ARLD) , caused by excessive alcohol consumption

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