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Second , we can do further tests: Antibodies against intrinsic factor (IFAB): these are specific for PA and make the diagnosis

Some elements of the protocol work well through telehealth: prescription renewal once the program is stable, symptom check-ins, and progress photos

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Kidney Dysfunction: While the kidneys do not directly excrete vitamin B12 efficiently, impaired renal function may lead to elevated serum B12 levels by reducing the clearance of B12-binding proteins or altering their metabolism, thereby contributing to B12 accumulation 8