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Peter is going to talk about a very straightforward, simple epidemiologic paper, that he thinks has important significance Originally he had gone down the rabbit hole on a much more nuanced paper at ATP binding cassettes in cholesterol absorption Ultimately, he thought this paper might be more interesting to a broader audience Peter had a dream about Andrew last night In this dream, Andrew was obsessed with making a certain drink that was like his elixir It had all of these crazy ingredients in it, tons of supplements When Peter woke up, he was trying hard to remember them One thing it had in it was dew Andrew had to collect a certain amount of dew off the leaves every morning to put into this drink The best part: Andrew had a thermos of this stuff that had to be with him everywhere All of his clothes had to be tailored with a special pocket that he could put the thermos into so that he was never without this special drink Andrew replies, Well, its not that far from reality, Im a big fan of yerba mate

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Medical Conditions, Surgeries, and Medications Lack of intrinsic factor (a protein made in the stomach thats needed for B12 absorption) - this condition is called pernicious anemia Thyroid disease HIV/AIDS (human immunodeficiency virus/acquired immunodeficiency syndrome) Autoimmune diseases like type 1 diabetes, where the immune system in the body attacks its own tissues Gastric bypass surgery (weight loss surgery) Chronic gastritis surgery Certain medications like heartburn drugs (proton pump inhibitors) which reduce stomach acid production Who Is At Risk of Vitamin B12 Deficiency

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