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I have to treat the anaemia first, then Ill extend to the b vitamins for thyroid, before undertaking high dose zinc treatment for psoriasis, because it is my thinking, that if I do have malabsorbtion issues of B12 then it is likely I may have malabsorbtion of zinc, which seems to operate with the same mechanism of parietal cells of the stomach, with the same rationale as sublingual, that if high doses, a percentage will get through

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Some medications, including proton pump inhibitors (PPIs) can also reduce vitamin B12 levels in the body (14)

When you are dehydrated, your liver and kidneys have to work much harder to filter waste