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[124] Other causes of B 12 malabsorption include bariatric surgery, pancreatic insufficiency, obstructive jaundice, tropical sprue, celiac disease, inherited intrinsic factor deficiency, and radiation enteritis affecting the distal ileum

(14) The committee recommended that vitamin B12 be performed in the initial work-up for those with suspected mild cognitive impairment or dementia, but added the caveat, Current data from systematic reviews of randomized double blind trials, however, do not provide evidence of improvement in cognition or dementia with B12 treatment. Ontario Context In fiscal year 2010/2011, more than 2.9 million serum vitamin B12 laboratory tests were billed to the province at a cost of approximately $40 million

So if they had tested the group and excluded any subjects with in range blood results, would they have gotten the same results in the trial

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