Elaine Yu, who directs the Bone Density Center at Massachusetts General Hospital in Boston, didnt find this particular difference very clinically impactful, for the reason that the condition is often coded for incorrectly and is likely underdiagnosed in both groups
Kuoni S, Steiner R, Saleh L, et al
Dysfunction of this transport mechanism leads to abnormal copper accumulations in the liver, brain, eyes, and other organs, with consequent major and variably expressed hepatic, neurologic, and psychiatric disturbances
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This is because stomach acid plays a role in separating B12 from the protein its bound to in food, allowing for proper absorption