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Then pain as the damn thing came out, and aching for half an hour afterwards

Sjgrens disease is an autoimmune condition that causes dry eyes and dry mouth

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This complex process means that conditions affecting the stomach or intestines can significantly impair B12 absorption, including pernicious anaemia, atrophic gastritis, previous gastric surgery, coeliac disease, Crohn's disease, and long-term use of certain medications (such as metformin, proton pump inhibitors, and H2 antagonists)

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Gold H.-J., Klinikum am Gesundbrunnen Heilbronn, Department of Neurology