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18th ed

While this explanation touches on some interesting concepts, there are several points that need clarification and might be oversimplified or speculative: Lets start with neuronal compensation

142 It is interesting to note that polymorphisms in the ATP-binding cassette subfamily D member 4 protein will affect the transporting vitamin B 12 out of lysosomes, and thus intracellular processing of vitamin B 12 , which may increase serum levels of vitamin B 12

Some people report redness or itching where they get their injections

His deficiency was judged to be on the "borderline" so doctors put him on tablets instead