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Description
At the same time, B12 insufficiency in the liver leads to shrinking of the intestinal cells and malabsorption of nutrients (including B12 itself), leading to a cycle of worsening B12 deficiency
If only a small amount of the intestine is affected, it may be that actually the stools look completely normal and you're not aware of that
[DOI] [PubMed] [Google Scholar] 72.Ausprunk D.H., Falterman K., Folkman J
Intrathoracic major duodenal papilla with transhiatal herniation of the pancreas and duodenum: a case report and review of the literature
