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As we discussed, these symptoms are the same symptoms of B12 deficiency or pernicious anemia, of which the young woman already had
Induction of bone-type alkaline phosphatase in human vascular smooth muscle cells: roles of tumor necrosis factor-alpha and oncostatin M derived from macrophages

With the number to date of known intestinal membrane transporters, ion channels, and surface receptors that facilitate transport of the above-named molecules and structures from the intestinal lumen identified directly or indirectly into the systemic circulation estimated at 100 or more, the intestinal barrier is thus composed of numerous components and transport mechanisms, all regulated by bioactive molecules and by neurohormonal signaling in response to physiologic and pathologic stimuli

A metallic taste in the mouth is a common complaint and can be due to a variety of causes, it states on his website
