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It may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see Drug/Laboratory Test Interactions ), use of a gluten free diet in nontropical sprue, or administration of antibiotics in tropical sprue

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Consuming foods that are rich in vitamin B12 and taking supplements can help prevent and treat vitamin B12 deficiency

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