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The right approach depends on the person, and in many cases the most useful starting point is identifying what is actually driving the symptoms

Injections bypass the gastrointestinal tract and are the standard treatment for pernicious anaemia and severe deficiency in the UK

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Identification of Urolithin A as a metabolite produced by human Colon microflora from Ellagic acid and related compounds

This can increase pressure and allow acid to travel upwards, causing a burning sensation in the chest or throat