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In such cases, the symptom may be related to ongoing gastro-oesophageal reflux or other gastrointestinal effects that do not fully resolve

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Surgical procedures or conditions that affect the gut, such as gastric bypass surgery or celiac disease, can prevent intrinsic factors from binding to B12 and prevent the body from breaking it down before absorbing the vitamin

The medication was pulled from the market in 2004 after it was linked to thousands of heart attacks

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