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The placebo was packaged identically to the supplement, and based on the participants' discussions with the nurses (who were also blinded), it did not appear that the participants could distinguish if they had received the placebo or the supplement, based on taste

These patients warrant either baseline supplementation or at minimum testing b12 levels every 6 to 12 months during treatment to catch declining levels before deficiency develops

doi:10.7150/ijbs.68148 This issue Cite Review 1

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