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Atrophic gastritis with intestinal metaplasia, which occurs when cells in the stomach lining are replaced with cells that line the intestines Pernicious anemia, an autoimmune condition in which you cant properly absorb vitamin B12, resulting in a low red blood cell count Epstein-Barr virus infection Acid reflux or chronic indigestion Being born male Older age, particularly 55 and above Overweight or obesity A diet high in salt-preserved foods (salted fish, meat, and pickled foods) A diet low in fruits and vegetables, and high in processed, grilled, or charcoaled meats Smoking, which doubles your risk of stomach cancer Alcoholic beverages History of stomach surgery to remove part of the stomach for a noncancerous condition, such as an ulcer Chronic stomach inflammation and intestinal polyps Blood type A Work in the rubber, metal, or coal industries Exposure to high levels of radiation A family history of stomach cancer A family history of certain genetic syndromes, such as hereditary diffuse gastric cancer, Lynch syndrome, juvenile polyposis syndrome, Li-Fraumeni syndrome, Peutz-Jeghers syndrome, and familial adenomatous polyposis How Is Stomach Cancer Diagnosed