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Another feature of Bells palsy is an inability to close the eye as a result of the lower eyelid drooping

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
While current research does not show a notable reduction in B12 absorption, the changes in digestion could affect the absorption of nutrients, making it important to take supplements, including vitamin B12

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95% confidence interval (CI), 1.09 to 1.45
