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These numbers are not modest

Symptoms of vitamin B12 deficiency include: In most cases of vitamin B12 deficiency, the body has not absorbed the required amount through digestion for several reasons

The funder had the following involvement in the study: conceptualization, decision to publish, approval of the manuscript

Although rare in developed countries, pellagra remains endemic in poorer regions, with risk factors including low socioeconomic status, alcoholism, anorexia nervosa, cancer, and malabsorptive disorders, such as Crohns disease, as well as the use of some specific medications such as immunosuppressive and anti-tuberculosis drugs (54)