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Precautions General Precautions Vitamin B 12deficiency that is allowed to progress for longer than 3 months may produce permanent degenerative lesions of the spinal cord
It is essential to rule out clinically significant conditions such as Coeliac disease, Inflammatory Bowel Disease (IBD), or other gastrointestinal pathologies
modulation of matrix metalloproteinase (MMP) activity and their tissue inhibitors (TIMPs)
However, there are some exceptions to this rule
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