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pylori in vitro (Liu et al

A natural, long-acting form of B12, hydroxycobalamin is popular in Europe and is often used to treat deficiencies and pernicious anaemia

It is not recommended for individuals with severe liver, kidney, or heart disease without prior medical clearance

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The double-edged sword of probiotic supplementation on gut microbiota structure in Helicobacter pylori management

Pathological causes of elevated B12 warrant careful consideration: Haematological disorders : Myeloproliferative neoplasms (polycythaemia vera, chronic myeloid leukaemia), acute leukaemia, and lymphoproliferative disorders can increase B12-binding proteins (transcobalamin and haptocorrin), elevating total serum B12 [3] Liver disease : Hepatocellular damage releases stored B12 into circulation