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Protocol Standardization: Written guidelines for dosing and monitoring, signed by the Medical Director

INTESTINAL CAUSES OF COBALAMIN MALABSORPTION Intestinal Stagnant Loop Syndrome Malabsorption of cobalamin occurs in a variety of intestinal lesions in which there is colonization of the upper small intestine by fecal organisms

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Vitamin B12 is water-soluble, so excess amounts are excreted naturally

Hence, this autoantibody presence especially targets the autonomic and central nervous systems (503), which may explain the dysautonomia and immune dysregulation present in ME/CFS ( In other autoimmune diseases, natural antibodies are found against adrenergic, muscarinergic, and other G protein coupled receptors (GPCR) (512)