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Iron deficiency anemia (IDA) is the most recognized type of anemia in patients with celiac disease (CD) and may be present in over half of patients at the time of diagnosis

check their B12 status, and request it to be checked if it is not available, ensure the levels are more than 300 pmol/L and not above the recommended upper limit, recommend reducing frequency of the intervention if the levels are at the high end of normal range or above range

Some problems of the gut can also be a cause of vitamin B12 deficiency, but this is less uncommon, for example: vegetarian, vegan, or following a plant-based diet surgery to remove parts of the bowel (the stomach or the end of the small intestine) Crohns disease atrophic gastritis (where the lining of the stomach is thinned)

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