Vitamin B12 is abundant in diets that include meat and dairy products, although deficiency can occur in those with malabsorption syndromes (2) or those who take medications for gastric disorders (3) (4) , for conditions associated with insulin resistance (5) , or in those who follow a strict vegetarian diet (6)
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Patients reported symptoms related to questions such as "I feel tense or 'wound up'" and "Worrying thoughts go through my mind." Nine patients had HADRS scores above 17, indicating anxiety symptoms related to somatic concerns, gastrointestinal complaints, and general somatic symptoms
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pylori infection and some diseases, such as Barretts esophagus and its consequences, or allergic asthma, were also reported (Chen and Blaser 2008