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2018 Feb

Older adults, those with digestive conditions (like celiac disease or Crohn's), people who have had gastrointestinal surgery, and those taking certain medications (like metformin or proton pump inhibitors) may also have reduced B12 absorption.*

rare but serious complications include pulmonary hypertension and valvular heart disease, particularly with prolonged or supratherapeutic exposure

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Third, movement provides partial or complete relief of symptoms, at least temporarily

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