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These patients have difficulty in absorbing vitamin B 12 because the source of intrinsic factor, a glycoprotein known to be involved in vitamin B 12 absorption in the ileum, is partly or totally eliminated by gastrectomy [10, 11]

In addition, for patients with arthralgias, sulfasalazine may be used to treat the joints and the colitis more effectively than other 5-ASA compounds

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However, sustained clinical benefitlike improvements in body composition, energy, or recoverydepends heavily on baseline hormone status, age, and individual physiological response patterns