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Berger C, Goltzman D, Langsetmo L, Joseph L, Jackson S, Kreiger N, et al

It is defined by vitamin B 12 deficiency in the presence of sufficient dietary vitamin B 12 intake, negative Schilling test, and lack of anti-intrinsic factor antibodies.30 Clinically, it is diagnosed by exclusion of other disorders or factors causing vitamin B 12 deficiency

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Oral KPV survives digestion and acts on gut-associated lymphoid tissue, which modulates systemic inflammation
