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PMID: 38205450 19 Megaloblastic Anemias: Nutritional and Other Causes
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
Patients with a history of gastrointestinal issues including gastritis, acid reflux treated with PPIs, or any condition affecting stomach lining integrity already have compromised B12 absorption pathways
Split Doses: Finding What Works for Your Body Heres the thing about B12 it doesnt stick around forever
S.WongK
While such cases are rare (because thankfully, known serious injuries from BPC-157 have not come to light yet), the legal door is open
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