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Ive also gone over the issues with blood tests once treatments have started and tried to explain that PA patients must be flooded with b12 in order for our bodies to take what we can from the injection

Selective screening of at risk (over 50, malabsorption, bowel resection, long-term vegan) patients in the practice may identify further patients with vitamin B12 deficiency as the current number of patients diagnosed is less than the average as suggested by the TILDA study [1]

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Lowered serum vitamin B12 has been reported in people with atrophic gastritis [2,60], Crohns disease [61,62,63], celiac disease [64], infection with H