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What is the most likely cause of this patients rash

Recently, however, methylcobalamin and adenosylcobalamin have become increasingly used in supplements because of their clear therapeutic advantages (see below)

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Acid suppression medications and metformin also reduce vitamin B12 absorption and so increase the risk of deficiency

Then I had severe stomach pains after food poisoning and, low and behold, was sent for colonoscopy to check for bowel cancer