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In some patients after ileal resection, particularly if the ileocecal valve is incompetent, colonic bacteria may contribute further to the onset of cobalamin deficiency

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Eur J Endocrinol 169(5):R89R97 Prez R, Garca-Fernndez M, Daz-Snchez M et al (2008) Mitochondrial protection by low doses of insulin-like growth factor-I in experimental cirrhosis