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He and his wife expanded their ranch house and constructed several cottages nearby so that, as an observer noted in 1897, his premises are a veritable little village, where now can be found a coterie of wealthy, cultured Easterners, and, judging from their robust appearance, it is difficult to imagine they were ever in delicate health. The nearby Mountain View Hotel offered twelve spacious rooms in a large Victorian building, each room with outside exposures, and hot and cold running water

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Other populations at risk include people who had gastrointestinal surgery (including weight loss surgery) and diseases that affect the gut, such as Crohn's disease or celiac disease