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Mortality reached 684,996 deaths, with a cumulative risk of 1.49%, underscoring breast cancer as a critical public health challenge ( Table 1 ), but 24,047 deaths, translating to more than half of diagnosed patients succumbing to the disease, thus reflecting structural barriers such as poor access to mammographic screening, delayed presentation, and inadequate treatment infrastructure ( Table 1 Breast cancer incidence and mortality by world region (GLOBOCAN estimates) ( Mortality-to-incidence ratio (MIR) was calculated as (deaths incident cases) 100

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malabsorption (insufficient absorption of vitamin B12 in the intestine), insufficient production of intrinsic factor (a protein that is formed in the stomach lining and required to absorb vitamin B12), Diseases in the end section of the ileum (part of the small intestine), e.g