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[ Acknowledgements We thank Sven Paul, Institute of Animal Breeding and Husbandry, University of Kiel, for revising the manuscript, Matthias Leippe, Department of Zoophysiology, University of Kiel, for helpful information and Virbac for providing the picture "Internal organs of the horse"

Other at-risk groups include people with coeliac or Crohns disease, those who have had weight loss surgery, and those with atrophic gastritis or pernicious anaemia