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Conditions such as Crohns, coeliac disease or previous gut surgery, and the autoimmune cause behind pernicious anaemia, all affect how well you retain B12

Youll experience profound biochemical alterations that lead to mitochondrial dysfunction and metabolic acidosis

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Furthermore, most monitoring guidelines, including both the MHRA in the UK [9] and the ADA [33], suggest the need for periodic vitamin B 12 monitoring but do not provide a monitoring frequency, which probably leads to lack of monitoring

Because symptoms resemble allergies, the real cause is easily overlooked

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