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In clinical practice, it is most often considered for patients dealing with gastritis-type irritation, reflux-type symptoms, inflammatory gut symptoms, medication-related GI irritation, intestinal permeability concerns, or gut lining support
An important clinical paradox: elevated serum B12 can sometimes coexist with functional B12 deficiency

[PMC free article: PMC6775420] [PubMed: 31616372] 56
