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In addition to the conditions mentioned above, several risk factors increase the likelihood of B12 deficiency: Smoking Alcohol abuse Endocrine-related autoimmune disorders (such as diabetes or thyroid disorders) Gastrointestinal disorders like Crohns disease History of gastric bypass surgery or other stomach-altering surgeries Optimize Your Health

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This figure probably underrepresents the issue because binge eating disorder is the most common of all eating disorders, but it can often go unrecognised, including by patients themselves, Ms Gooding says

To tolerate the changes