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human clinical trials have not been completed.4-6,10
If you cannot swallow food or pills without significant effort, your provider needs to evaluate whether dose adjustment or medication change is appropriate
Atrophic gastritis, a condition that depletes stomach acid, also reduces B12 absorption
184,185 The close relationship between vitamin B 12 and folate can make it difficult to distinguish their independent deficiencies: B 12 deficiency causes a functional folate deficiency by trapping folate as 5-MTHF, thereby blocking homocysteine metabolism, because B 12 is required for the conversion into functional folate
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