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A 32-year-old woman with a 14-year history of Crohn’s disease presents with a three-day history of diarrhea and steady abdominal pain. She has been referred to the GI clinic. The clinical course of her disease has included obstruction due to small intesti

1. Explain the pathologic mechanism of adrenal insufficiency for this patient.


2. Discuss the rationale for giving cyanocobalamin 250 µg IM monthly to the patient.


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A 32-year-old woman with a 14-year history of Crohn’s disease presents with a three-day history of diarrhea and steady abdominal pain. She has been referred to the GI clinic. The clinical course of her disease has included obstruction due to small intesti
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