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However, people who have previously had intestinal surgery are also at risk, as the vitamin itself is dependent on a healthy stomach

Haemoglobin levels begin rising, and macrocytic anaemia starts resolving

Strengths of our study include the relatively large sample size, its prospective design with multiple standardised annual measurements for each patient, and a constant time between follow-up measurements

Initially, surgery can impair the skin and mucosal barriers of patients, offering an entry point for bacterial intrusion (Xia et al., 2022)

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