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Therefore, a bypassing key, i.e., an activated azygos vein as a rescuing pathway, avoiding both the lung and liver and also noted in BuddChiari syndrome (i.e., suprahepatic occlusion of the inferior caval vein) (Gojkovic et al., 2020), combines the inferior caval vein and superior caval vein via direct blood delivery

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Bacterial overgrowth syndrome may cause cobalamin deficiency because of competition for cobalamin in the intestine before the "cobalamin-intrinsic factor" complex reaches the terminal ileum

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