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It is particularly prevalent in patients taking metformin (which blocks B12 absorption), vegetarians and vegans, patients with atrophic gastritis or prior gastric surgery, and older adults with reduced intrinsic factor production

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Some researchers maintain their protocols for a year or longer

People with severe deficiencies may require a few injections to start feeling the benefits and will be overseen by a medical professional to ensure accurate dosage to optimise results

RLT involves the use of radionuclides that are directed to the cancer cells in order to exert cytotoxic effects