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Sometimes the same bacterial issue that causes digestive issues from swallowing the B12 can also cause these heart palpitations, anxiety etc
Further, NICE and the BNF says that if there are neurological symptoms present, then every other day injections are the recommended treatment, so all the points you make about B12 being stored and sufficient are not really relevant
pH range is 3.5 to 5.0
Weight loss may improve fertility, particularly in women with PCOS, so reliable contraception is essential if pregnancy is not desired
Emmanuel Andrs, Thomas Vogel, Laure Federici, Jacques Zimmer, Ecaterina Ciobanu, and Georges Kaltenbach
This is such a common disorder
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