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In fact, there are no NICE guidelines relating to Pernicious Anaemia, just a Clinical Knowledge Summary which has a glaring error in it (weve pointed this out to NICE who are considering revising it)
Adenosylcobalamin: A naturally active form that is present in the mitochondria (powerhouse of the cell) and involved in energy production
Individuals and practitioners relying on that argument as a legal compliance pathway do so without FDA confirmation
This method bypasses the digestive system, which is critical for those with absorption deficiencies or gastrointestinal issues
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