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Reconstitution behavior changes may indicate degradation
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The uneducated clinicians will say, you dont have Intrinsic factor antibodies (IFA) so you dont have pernicious anaemia (PA) and so you will stay on tablets because we decided you can now miraculously absorb B12 from food! This ludicrous concept crops up frequently (I have blogged about it before here.) It needs repeating so often PA is just one of many causes and they are all serious and need correct treatment
If you are using oral capsules, none of the above applies you only need the capsules themselves
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Peer review Peer review information Nature Chemical Biology thanks Tomohiro Sawa, Christopher Switzer and the other, anonymous, reviewer(s) for their contribution to the peer review of this work
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