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Risk factors for deficiency include long-term antacid medications use, metformin therapy, GI disorders, surgery, and vegetarian/vegan diets

We adjust the schedule based on the patients condition and how they respond to therapy

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In arriving at our criteria we consulted three standard textbooks of medicine (Alstead, Davidson and Price), a consultant haematologist, the librarian at the Royal College of General Practitioners, and the Monthly Index of Medical Specialities

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