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So it may be that the liver has to work extra hard to detoxify the body when its low 0on B12, even when there's no liver damage

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The same day of the procedure, McClendon was taken to an emergency room in Houston and "left the emergency room before prior evaluation." Because she was not able to get a refund, McClendon went back to Fernandez the next day to finish the procedure

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Other causes of B12 deficiency include pernicious anemia, an uncommon (and spookily named) autoimmune disease that destroys parietal stomach cells