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Nat Med (2021) 27(4):60115

Possible complications include pain, bleeding, and infection

Rsultant de multiples facteurs environnementaux, pollution, tabagisme, alimentation dsquilibre, obsit, il altre le pouvoir fcondant des spermatozodes

Inadequate secretion of intrinsic factor, resulting from lesions that destroy the gastric mucosa (which can be caused by ingestion of corrosives, extensive tumors, and conditions associated with gastric atrophy, such as multiple sclerosis, certain endocrine disorders, iron deficiency, and subtotal gastrectomy) Structural lesions leading to vitamin B 12 deficiency, including regional ileitis, ileal reactions, and malignancies Competition for vitamin B 12 by intestinal parasites or bacteria