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The net effect is stored triglycerides getting broken apart into free fatty acids and glycerol, which the body can then burn for energy

Common causes in the UK include pernicious anaemia (an autoimmune condition where the stomach fails to produce intrinsic factor, a protein essential for B12 absorption) and dietary deficiency, particularly in those following strict vegan diets (as B12 is found primarily in animal products)

My numbers are almost to a reasonable range, but they are improving

This makes it an invaluable asset in the long-term management of gastric health

If switching to a plant-based diet, it usually takes years before a clinically manifest deficiency develops, especially taking the reserve capacity of the body into consideration

By Joette Derricks, MPA, CMPE, CPC, CHC, CSSGB Pain medicine coding experienced an overhaul for 2015