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Instead, they recommended methylcobalamin, a form of B12 where a methyl group replaces the cyano group

When I see a patient with a vitamin B12 deficiency that does not seem to match their bariatric history (or who is deficient without any bariatric procedure at all), I work through this list to find the cause

It is extremely important that patients starting AOM understand that while mild nausea is common, vomiting is never normal

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