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In some cases, endoscopy or surgical biopsy with histopathology is needed to confirm the diagnosis and identify the type of inflammatory cells involved

I could be wrong but I'm gonna guess you're not devouring enormous quantities of liver, beans and lentils

Methylcobalamin degrades more rapidly

Results may vary.

If B12 is low and folate is normal, use D51.9
I shall keep you posted on continuous improvement