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In patients with ascites or coagulopathy, specimens may also be obtained with transvenous access from the jugular vein

Removal or destruction of the stomach: Vitamin B 12 deficiency can develop in people who have had surgery to remove part or all of the stomach

It was discovered in 1977 by the research group of Marcel Monnier and Guido Schoenenberger at the University of Basel

PMID: 27456173