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Two reports from Australia have shown that high folate status is related to poor cognition, especially when the population is divided into those with low, normal, or high serum B12 concentrations (70, 71)

In addition to reducing intake of the vitamin itself, bariatric surgery may diminish the secretion of intrinsic factor in the stomach, which is normally produced and released in response to food intake (Marcuard et al., 1989)

We might give higher initial doses, followed by a regular maintenance plan

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Le MMA (acide mthylmalonique) est encore plus spcifique (considr comme le "gold standard" analytique pour le dficit en B12)