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39 The outcome of these studies reinforces the notion that the intestinal epithelium is essential for separating luminal antigens from mucosal immune components, and that its disruption by altered proliferation/apoptosis ratio can result in immune activation and inflammation (Figure 1)

PPIs reduce stomach acid, which impairs the first step of B12 absorption from food

While each modality demonstrates favorable safety profiles in available research, responsible use demands awareness of potential risks and appropriate contraindications

Rich food sources include dairy, eggs, leafy greens, nuts, and whole grains

If your initial biopsies dont show dysplasia, endoscopy with biopsy should be repeated about every three years