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Air pollution

Inadequate secretion of intrinsic factor, resulting from lesions that destroy the gastric mucosa (which can be caused by ingestion of corrosives, extensive tumors, and conditions associated with gastric atrophy, such as multiple sclerosis, certain endocrine disorders, iron deficiency, and subtotal gastrectomy) Structural lesions leading to vitamin B 12 deficiency, including regional ileitis, ileal reactions, and malignancies Competition for vitamin B 12 by intestinal parasites or bacteria

presented a case of primary cutaneous anaplastic large-cell lymphoma who experienced the recurrence of the previous disease after 2-day-ago vaccination with the first dose of BNT162b2 vaccine, while he had demonstrated no relapse after receiving radiotherapy in the last months (166)

This remains one of the most debated topics in peptide handling discussions