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The worms may also appear in gastric mucosal biopsy samples

Adjust doses gradually (every 3-4 days)

A higher risk of deficiency is present in patients with malabsorptive syndrome and/or unusually low sun exposure, those who have undergone gastric bypass surgery, or those on prolonged glucocorticoid use (which alters intestinal absorption) ( Cancer patients may have a higher risk of deficiency due to causes of intestinal fat malabsorption (i.e., intestinal surgery, pancreatectomy, gastrectomy) or due to oncologic treatments, such as aromatase inhibitors

Metabolism 53 (9), 11971201

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Allergy to vitamin (any kind)