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An elevation in fPLI is consistent with pancreatitis, although I would look closely for additional clinical signs such as dysrexia and lethargy, or elevations in blood glucose and total bilirubin

Yet B12 deficiency is remarkably common, affecting vegetarians, vegans, older adults, and anyone taking certain long-term medications like metformin or proton pump inhibitors

But what if there was a natural, long-term answer

Frank deficiency (below 145 pmol/L), post-RYGB or post-BPD-DS: intramuscular injection, loading regimen followed by monthly maintenance

They come in different protocols for various patients

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