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Pernicious anaemia, atrophic gastritis, proton pump inhibitors, metformin, and gastrointestinal surgery significantly impair B12 absorption
Katherine Saunders, an obesity expert at Weill Cornell Medicine and co-founder of the obesity treatment company Intellihealth
70 It impairs lactate, as a source of energy, shuttling to axons via monocarboxylate transporters, 82 thus contributing to the nerve damage
Any unusual reactions should be reported immediately to a healthcare professional
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