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This vitamin shortage can happen for a few reasons: when your body cannot take in vitamin B12 from food because of a condition called pernicious anemia, when you have certain illnesses or infections, or take certain medicines that stop your body from absorbing enough vitamin B12 from what you eat, or when you follow a vegan diet which means you do not eat any animal products, like meat, dairy, or eggs

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Specifically, through the high expression of glutamine transporters and key metabolic enzymes, tumor cells preferentially take up and utilize glutamine from the microenvironment, thereby establishing metabolic competition with immune cells such as T cells and NK cells

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Have a gastrointestinal condition like gastritis or Crohns disease

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