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Other causes include gastrectomy, Crohn's disease, celiac disease, bariatric surgery, and chronic use of certain medications, such as proton pump inhibitors (PPIs) and metformin

Frontiers in pharmacology

From a clinical standpoint, the results of this study are very encouraging but should be implemented with cautious, the majority of studies identified in our study was of small or moderate size and conducted in a single center by almost one group in Catania, Italy

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