In the absence of gastric parietal cell or intrinsic factor antibodies, gastroenterology consultation and other diagnostic tests (eg, endoscopy) may be necessary to determine the cause of cobalamin deficiency if a clear and sufficient explanation is not readily evident from the patient's history (eg, a long history of adherence to a vegan diet, nitrous oxide exposure in surgery or recreationally, history of fish tapeworm infection, or a history of bariatric surgery, gastrectomy, or surgical resection of the terminal ileum)
Journal of Investigative Medicine High Impact Case Reports
Abstract In the SELECT cardiovascular outcomes trial, semaglutide showed a 20% reduction in major adverse cardiovascular events in 17,604 adults with preexisting cardiovascular disease, overweight or obesity, without diabetes
The effects of a B12 shot can last for several days to a week
Tissue Repair Research
Aunque sin grupo control, sugiere potencial beneficio en esta condicin de difcil tratamiento)pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov