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Small bowel diseases including Crohn's disease, coeliac disease, or bacterial overgrowth impair B12 absorption

No matter the case you should see your doctor if you cant bear weight on your knee, have severe swelling, cant fully extend or flex your knee, have a fever in addition to swelling and redness in your knee, or have such severe knee pain you cant bear it

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Diminished gastric function in individuals with atrophic gastritis can result in bacterial overgrowth in the small intestine and cause food-bound vitamin B 12 malabsorption