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He X, Hang D, Wu K, Nayor J, Drew DA, Giovannucci EL et al (2020) Long-term risk of colorectal cancer after removal of conventional adenomas and serrated polyps

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Because cobalamin in normally absorbed from food through the gastrointestinal tract, chronic diseases that adversely affect the ability of the intestines to absorb nutrients (inflammatory bowel disease is an excellent example) can lead to cobalamin deficiency