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4,25 The prevalence of DPN is significantly higher in developing countries, often exceeding 50% among diabetes patients

In either case, the presence of large intestine bacteria in the small intestine can interfere with normal B12 levels

These reasons, while understandable from a procedural standpoint, can be clinically and emotionally detrimental to a patient with Pernicious Anemia who is symptomatic and in need of treatment

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