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The refusal to provide this essential treatment a day early, when the patient is symptomatic, is fundamentally different from a dietary suggestion
Would you say to someone who eats meat and can absorb B12 (which a PA patient cant do because they have no intrinsic factor): Oh you cant eat meat to get your B12 until Monday even though you are B12 deficient on Friday? This is unreasonable
Analysis of these samples by the Cambridge team showed that around 40% of these patients had raised levels of INSL5, even though they had had bile acid malabsorption ruled out, and these patients responded best to ondansetron
1 2 Journal of the Academy of Nutrition and Dietetics
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