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The uneducated clinicians will say, you dont have Intrinsic factor antibodies (IFA) so you dont have pernicious anaemia (PA) and so you will stay on tablets because we decided you can now miraculously absorb B12 from food! This ludicrous concept crops up frequently (I have blogged about it before here.) It needs repeating so often PA is just one of many causes and they are all serious and need correct treatment
Banned methods include blood transfusions, blood doping, and artificial chemicals that enhance oxygen transport
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The takeaway for the authors was that NAC could actually be dangerous in high risk populations, such as those struggling with COPD
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