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Lack of historical evidence to support folic acid exacerbation of the neuropathy caused by vitamin B12 deficiency

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But for individuals without a colon and/or terminal ileum, such as those with an ileostomy, ileoanal pouch (ipouch), or urostomy, the risk of vitamin B12 deficiency is alarmingly under-recognised

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Position your head the same way, use the same lighting, and photograph from the same angles each time