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Ensure you are getting adequate sleep each night

First, rule out any underlying conditions such as kidney or liver disease, cancer, or other blood disorders, as these can raise B12 levels

Studies carried out using epithelial cell lines and animal models showed that gliadin was able to induce apoptosis of intestinal epithelial cells through a direct toxic effect (251), including enterocyte atrophy, villi shortening, decreased epithelial disaccharidase activity, increased expression of HLA molecules, and intraepithelial inflammatory activation

doi:10.1016/0009-2797(94)90071-x 15 Butawan M, Benjamin RL, Bloomer RJ