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Leitman, E

How much oral vitamin B12 is required for pernicious anemia

Peristalsis is the series of wave-like muscle contractions that move food through your digestive tract

Missing occasional doses won't significantly impact your results

If the GP says that she doesn't have macrocytic anaemia so doesn't need this pattern of treatment, you could point out that NICE guidelines for B12 deficiency say that "Note: clinical features of vitamin B12 deficiency can occur without anaemia and without low serum levels of vitamin B12." cks.nice.org.uk/topics/anae

City employee Michael Glasgow is Flint's water quality supervisor