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By tackling these problems, providers can get better payment for R20.0 services

For patients who are nutrient deficient or under stress, it may help restore balance, but healthy individuals should temper expectations

It's little wonder that low B12 levels can prove ruinous

Two main causes often emerge then: Autoimmune gastric problems (such as anti-parietal cell antibodies and intrinsic factor antibodies) An infection with Helicobacter pylori Both can interfere with vitamin B12 and iron absorption and lead to long-term symptoms

Some researchers prefer this option during the initial low-dose escalation phase, then switch to a higher concentration for maintenance dosing