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You need the full picture: serum B12, methylmalonic acid, homocysteine, and if you can get it, holotranscobalamin

But for those with pernicious anemia, an autoimmune condition that attacks intrinsic factor, the passive absorption of B12 is incredibly inefficient with only one percent being taken up from your food

Consequently, ANOSIM testing was also performed, which showed that clustering by treatment group was significant in each of the diversity measures (unweighted UniFrac: R value = 0.369, p = 0.0010

Not as a trend, but as a medically guided way to support how your body is designed to heal

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Some researchers find their optimal dose is lower than the maximum studied amount