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Importantly, folic acid should not be given alone before B12 deficiency is excluded or treated, as this can mask anaemia while allowing neurological damage to progress

124 StockwellB

Compared with those in iron-sufficient rats, cecal butyrate and propionate levels are significantly lower in iron-deficient rats, and the abundance of dominant species is noticeably altered [72]

Some patients feel that B12 shots provide a very sustained and consistent energy level throughout the week but like to supplement and augment this effect with oral forms on particularly stressful days