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Some conditions that can cause this vitamin B12 deficiency include: Atrophic gastritis, an inflammation of the stomach Surgical removal of part of the stomach or intestines Conditions that affect your intestine's ability to absorb nutrients, such as Celiac disease Pancreatic insufficiency Alcoholism Acquired immune deficiency syndrome (AIDS) Some people who don't have enough of a protein called the "intrinsic factor" also have a vitamin B12 deficiency

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They are currently ineligible for routine compounding

It depends on your goals and, where relevant, your lab values

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Imerslund-Grsbeck syndrome in a 15-year-old German girl caused by compound heterozygous mutations in CUBN