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Keep a symptom diary and share it with your clinician to guide follow-up testing

Other Gastrointestinal Disorders Affecting B12 Other conditions like gastric bypass surgery, atrophic gastritis, and pancreatic insufficiency can also cause B12 malabsorption

this results in reduced transcription of mitochondrial ribosomal proteins and mitochondrial transcription factors, and subsequently halting protein translation 101,102

As a cytoprotective agent, mediating Roberts cytoprotection, it maintains endothelium integrity and has a particular angiomodulatory effect (Sikiric et al., 1993

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