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- No animal food (vegetarians sometimes have low B12)
- Atrophic gastritis (would also cause indigestion, undigested food in the stool)
- Heavy inflammation of the small intestine (Crohn's disea, celiac disease..would cause diarrhea, bloating)
- Small intestinal bacterial overgrowth (SIBO...could cause bloating, diarrhea or constipation, and deficiences of other vitamins (vit A, D, E...) and minerals