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In addition to this, there are some medical conditions like pernicious anemia or gastrointestinal disorders, where malabsorption is the main problem

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One example is the Jarisch-Herxheimer reaction, which may occur in those treated for syphilis or Lyme disease

abnormalities should be investigated

Clinical evidence does not consistently demonstrate superiority of either form in correcting deficiency or improving symptoms such as fatigue or neuropathy

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