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The encounter for screening designation means the patient is undergoing a routine or preventive test to detect a disease not yet known to be present

Its deficiency is seen in people with poor nutrition, infection, cancer, surgery, alcohol, pernicious anemia, medications (PPIs or other acid-suppressing drugs), exposure to nitrous oxide (during surgery or recreational use), stomach/intestinal problems such as intestinal dysbiosis, leaky gut or gut inflammation, atrophic gastritis or hypochlorhydria (low stomach acid) and/or nerve damage

It is manufactured by American Regent, Inc

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