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They found her pain progressively reduced after each treatment

For the reasons presented in the sections above, this approach would exclude a significant fraction of patients for which serum vitamin B 12 does not reflect cellular, genetic, and pharmacological disturbances that lead to functional vitamin B 12 deficiency

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Understanding the complex absorption process of vitamin B12 helps explain why some individuals develop deficiency despite adequate dietary intake, and why different supplementation strategies may be necessary for different people

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