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Current attempts such as the CobaSorb Test and tests employing a detectable non-radioactive form of B12 may prove to be reasonable alternatives for the original Schillings Test, and thereby help to solve the most important question: Will this patient need a lifelong treatment with pharmacological doses of B12

Frequency of injections will vary

Furthermore, decreased bacterial richness has been linked to high carbohydrate 73 and high-fat/low-protein concentrations 74 , as found in the lean and Western diets, respectively, the latter result only in old-aged rats 74

B12 deficiency is more common than widely recognized, particularly in individuals who follow plant-based diets, take proton pump inhibitors or metformin, are over 50, or have gastrointestinal conditions affecting absorption

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