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It does not, as long as you maintain gentle technique throughout
A deficiency can occur for several reasons, such as pernicious anemia (a condition where the body cannot absorb vitamin B12 from the diet), certain medical conditions (e.g., Crohn's disease, celiac disease), surgical removal of part of the stomach or intestine, or strict vegetarian/vegan diets if not adequately supplemented
Delays gastric emptying reduces postprandial glucose 4
Don et al., 2003)
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