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Nature communications , 11 (1), 5205

Current British Society of Gastroenterology guidance suggests considering a baseline upper GI endoscopy with biopsies in adults aged 50 or over with confirmed pernicious anaemia to document autoimmune gastritis

It's a nuanced mechanism, far from a simplistic 'fat-burner' label

Individuals with gastrointestinal conditions Crohns disease, celiac disease, and other inflammatory bowel conditions impair absorption

Two practical consequences fall out of this mechanism, and both explain the shape of the protocol below