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Certain medical conditions and medications increase B12 requirements: Long-term use of metformin (diabetes medication) or proton pump inhibitors (PPIs for acid reflux) can impair B12 absorption [13] [14] Gastrointestinal conditions such as Crohn's disease, coeliac disease, or previous gastric surgery Autoimmune conditions beyond pernicious anaemia may affect B12 metabolism When to contact your GP : If you are taking B12 supplements or receiving injections but continue to experience symptoms, request a review
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Injuries to the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), or lateral collateral ligament (LCL) can occur during sports, sudden changes in direction, falls, or traumatic accidents
Here are the reasons most Americans have some degree of gut hyper-permeability syndrome
The Journal of Investigative Dermatology, 113 (3), 364368
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