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Heavy metal poisoning is another major concern

10.1177/0271678X15617954 242 PlancheV.CoupP.HelmerC.Le GoffM.AmievaH.TisonF.et al (2019)
The blind loop syndrome may produce deficiency of vitamin B 12 or folate
Importantly, these phase-dependent metabolic responses do not occur in isolation but are modulated by interacting physiological systems, including inflammation, the gut microbiota, circadian rhythms, physical activity, and behavioral factors [9,10,11,12,13,14]