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Fortunately, though, most cobalt gets recycled back into the rumen to be caught by rumen microbes to make more vitamin B12 for the ruminant bovine
At our tertiary cancer centre, the standard protocol for VB12 post-gastrectomy involves verbally communicating with patients the importance of VB12, providing VB12 information in nutritional counselling (verbally and written information), including information on the discharge summary to the general practitioner (GP), and checking adherence at post-operative visits
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Medical supervision remains advisable