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This is not an issue with an injection (since IM/IV bypasses the gut), but if a patient is also taking oral supplements, they should separate them from tetracycline dosing

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The Schilling test distinguished PA from other forms of B 12 deficiency, [50] specifically, from ImerslundGrsbeck syndrome, a B 12 -deficiency caused by mutations in CUBN that codes for cubilin the cobalamin receptor

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