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two exceptions to this are in , where in the year 2000 oral vitamin B Canada and Sweden 12 accounted for 73% of the total vitamin B 12 prescribed
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However, the application of these interventions poses a risk of dysbiosis, where medication-induced changes may lead to an imbalance in microbial populations, exacerbating symptoms rather than alleviating them [178,179,180]
"Diagnosis, Treatment and Long-Term Management of Vitamin B12 Deficiency in Adults: A Delphi Expert Consensus"
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