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10.3892/ijmm.2018.3529 247 YinL.NiuC.LiaoL

Consultation and suitability checks Youll be asked about: Your symptoms and health history Any known deficiencies and relevant blood test results (if you have them) Current medications and supplements Allergies (including metal allergies such as cobalt) Pregnancy/breastfeeding status where relevant B12 injections are not a replacement for medical investigation when symptoms are significant, worsening, or unclear

Common triggers include carbonated drinks, high-sodium foods, dairy (for those who are lactose-intolerant), cruciferous veggies like broccoli in large amounts, and sugar alcohols

Finally, we gratefully acknowledge the use of FigDraw software, which greatly facilitated the preparation of high-quality scientific illustrations included in this manuscript