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Pathobiology 1993
William Castle demonstrated that gastric juice contained an "intrinsic factor" which when combined with meat ingestion resulted in absorption of the vitamin in this condition
When MIC B12 Injections Can Help Confirmed B12 deficiency: Injectable B12 is a standard medical therapy and can be important when absorption is impaired (NIH ODS overview: Vitamin B12 fact sheet )
Drugdrug and drugdisease interactions OTC sympathomimetics may potentiate an acute hypertensive effect
Seek urgent same-day assessment or call 999 for emergency care if experiencing: Severe chest pain Severe shortness of breath Fainting or collapse Acute or rapidly worsening neurological deficits (such as new limb weakness, sudden gait disturbance, or bladder/bowel dysfunction) Persistent or worsening anaemia symptoms despite treatmentincluding breathlessness, chest discomfort, palpitations, or extreme fatigueshould trigger medical review
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