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It may sound simple to decide the right treatment strategy, but the big question is how to identify patients able to absorb vitamin B12 provided by food or a vitamin pill, as compared to those who have lost the capacity to absorb vitamin B12

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Vitamin D is fat-soluble and can accumulate to toxic levels, causing nausea, weakness, and kidney damage

It is affordable, can be self-administered by patients, is available worldwide, and displays low-to-no toxicity at high doses, they write

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We can confirm deficiency with a lab test, or you can simply try a few injections and see how you feel most people notice a difference quickly