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[23] Signs You May Be Deficient in Vitamin D or B12 Deficiencies in vitamin D and B12 can present with overlapping symptoms, though each has distinctive clinical features that aid diagnosis

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However, exocrine pancreatic insufficiency should be ruled out before biopsy, because signs of malabsorption are nonspecific and not easily differentiated from maldigestive disorders.10, 11 Thus serum trypsin-like immunoreactivity (TLI) measurement must be performed in all cases (see Chapters 25 and 60Chapter 25Chapter 60)