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Conditions that affect the gut, like Crohns disease or celiac disease, can damage the intestinal lining, making it difficult for B12 to pass into your bloodstream

Consequently, its rapid metabolism into active fragments and lack of systemic accumulation highlight a strong clearance profile, reducing the potential for peptide build-up or toxicity

Whether you see you current GP or the lady doctor you talk about, some here have had succes by writing to a specified GP before their appointment to outline one their concerns you could include things like: NOTE: include evidence from my previously links so that everything is supported - also,include the above paper and the BSH Cobalamin treatment guidelines - highlighted in the relevant places

I would suggest that you need to read all of the studies before you reach a conclusion

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