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The bypassing pathway may be the inferior anterior pancreaticoduodenal vein (with a reduction in duodenal congestion lesions) (Amic et al., 2018) and arcade vessels (with a reduction in left colic vein and artery occlusion-induced ischemic reperfusion colitis) (Duzel et al., 2017)

Can individuals with renal impairment take vitamin B12 supplements

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It does not mean these compounds are safe to self-administer without clinical evaluation

Now heres the funny bit The MHRA in responding to our petition stated: Vitamin B12 could not legally be classified as a medicine that can be made available for sale without prescription in pharmacies because it is an injection and because the condition it is licensed to treat, pernicious anaemia, needs a clinician to diagnose it, and monitor its treatment (see point IV above)