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I have used lots of this info in my email to GP, so many thanks for the info Forum Support in reply to Keep copies of any letters/other communication sent or received

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View image online ( vitamin b12 shot in foreground with vials in background When you think of vitamins, what comes to mind

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Moreover, the altered gut environment in IBD, characterized by dysbiosis and bacterial overgrowth, may further exacerbate vitamin B12 deficiency, as some bacterial species can compete for or deplete cobalamin in the gastrointestinal tract