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Chloramphenicol, though rarely used in modern practice, can antagonize the hematologic response to vitamin B12 in patients with megaloblastic anemia
& Lui, H
Frozen (-20C / -4F or below): unopened powder only Frozen, unopened powder stays stable for months to years
Risk may also be higher when there is an underlying disorder affecting muscles or mitochondria
Stool tests are another way to identify if a person has this type of dysbiosis
B12 works closely with folic acid
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