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They found that levels were partially normalised on insulin supplementation

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Any issue that can affect the stomach, pancreas or the last 3-4 cm of the small bowel (called the terminal ileum): Stomach: gastrectomy, gastric bypass Pancreas: chronic pancreatitis, removal of the pancreas Terminal ileum: Crohns disease, coeliac disease (an allergy to gluten requiring a very strict gluten-free diet), removal of terminal ileum, ileostomy, radiotherapy to the pelvis (e.g