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High-dose oral therapy (10002000 micrograms daily) can be effective even in pernicious anaemia, as approximately 1% of B12 is absorbed through passive diffusion independent of intrinsic factor
This arrangement keeps the humeral head from sliding too far up or forward within the glenoid
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Its worth noting that adverse effects are not common with high supplemental vitamin B12 intake, however, there is also no strong evidence to show that it has benefits in people who are not already deficient (largely due to the fact that your body only stores as much B12 as it needs and any excess will be excreted through your urine)
It is called a Morton's neuroma
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