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NHS approach to B12 deficiency: NICE Clinical Knowledge Summaries recommend investigating B12 deficiency in patients presenting with macrocytic anaemia, unexplained neurological symptoms, or risk factors including pernicious anaemia, gastrectomy, malabsorption disorders, metformin use, proton pump inhibitors, or nitrous oxide exposure
The catalytic cycle involves three distinct basic reactions
If youre just not sure, you may wish to consider a food sensitivity test, such as the Alletess IgG test
Aicher A , Heeschen C , Mohaupt M , Cooke JP , Zeiher AM , Dimmeler S
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