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& Xia, F

However, the pathogenesis of osteopenia in liver cirrhosis is not fully understood, although malabsorption, malnutrition, vitamin D deficiency, reduced levels of sexual hormones and alcohol toxicity appear to be some of the factors involved in altered bone metabolism [1519]

The 4 stages of B12 deficiency can help identify how the disease progresses: Stage 1: Depletion Low stores of B12 with no symptoms

I no longer needed to constantly put my glasses on and take them off or adjust them
