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Because cobalamin in normally absorbed from food through the gastrointestinal tract, chronic diseases that adversely affect the ability of the intestines to absorb nutrients (inflammatory bowel disease is an excellent example) can lead to cobalamin deficiency

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conducted a retrospective analysis of 357 gastroenterology inpatient records who had had measurements of serum DAO, LPS, and D-lactate and compared hypertensive to normotensive inpatients, regardless of antihypertensive medication status [99]