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This may be relevant for people with malabsorption disorders such as Crohn's disease or coeliac disease, though it's important to note that for pernicious anaemia, intramuscular hydroxocobalamin injections remain the first-line treatment in the UK, as recommended by NICE and the British Society for Haematology

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Furthermore, animal and clinical studies have shown that glutamine deficiency leads to villous atrophy (destruction of villi) and mucosal ulcerations (sore lesions) in the small intestine, leading to an impairment in the functioning of immune cells, and resulting in greater susceptibility to infections

Acute cholecystitis and laparoscopic cholecystectomy