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A- It can be used if recommended by a doctor

doi: 10.1016/j.cub.2023.02.060 80 ForetMKLincolnRDo CarmoSCuelloACCosaG

Dithiothreitol liberates non-acid labile sulfide from brain tissue of H 2 S-poisoned animals

For this reason, there are numerous other ways to administer Methyl B12 supplementation

Important to note: the oral challenge doesnt rule out other autoantibody mediated reaction
