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As well as from poor diet and digestion, vitamin B12 deficiencies can also be affected by a genetic condition such as: o Pernicious anaemia o Crohns disease o Treatment with proton-pump inhibitors o Atrophic gastritis o Coeliac disease o Use of antacids (acid is required to release B12 from food) o Gastrointestinal surgery o Use of certain medications o Use of illegal drugs and substances including nitrous oxide

He was, however, fascinated by flight his entire life

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pylori bacteria, the autoimmune Pernicious anemia which attacks parietal cells and intrinsic factor (rare) preventing the absorption of B12, and patients who are mis-prescribed Proton Pump inhibitors

The location of hydrogen bonds for the parent L-fibril is shown in Figure 8a