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Sleep and stress management Poor sleep disrupts hormones involved in fat metabolism, including growth hormone, cortisol, and insulin sensitivity

Patients with pernicious anemia This autoimmune condition destroys intrinsic factor, the protein required for B12 absorption in the small intestine

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Would love to go back but its so far out there in the northwest, I sorta doubt I ever will
in coeliac or Crohns disease), this can lead to B12 deficiency
