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Conditions such as Crohns, coeliac disease or previous gut surgery, and the autoimmune cause behind pernicious anaemia, all affect how well you retain B12

These observations suggest that while infectious agents such as schistosoma can drive hepatic fibrosis by mediating tissue damage, genetic predispositions to TGF- pathway activation or a specific inflammatory response may make the hepatic environment conducive to fibrosis in the presence of an infectious agent

International Journal of Sport Nutrition and Exercise Metabolism, 13(2), 198-226

Groutas, W