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This latter is a consequence of vitamin B12 malabsorption in turn due to intrinsic factor deficiency (66) whereas the reduced gastric acid secretion lowers iron absorption in iron-deficient anemia (65)

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Contraindications include a history of pancreatitis or diabetic ketoacidosis, hypoglycemia, and angioedema [81]

Then how to build the kind of global surveillance and rapid diagnostic capacity that can catch outbreaks early