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the secondary outcome variables include the serum concentration of vitamin B12 (in pg/ml), adherence to treatment, quality of life (EuroQoL-5D questionnaire), patient 3satisfaction and patient preferences

Although only a small amount of vitamin B12 is absorbed without the protein "intrinsic factor," there is still some vitamin B12 that the bloodstream can absorb without the intrinsic factor protein

In some cases, the pylorus is not removed

In many patients, pain is not maintained by nerve injury alone

Some patients may achieve optimal results at lower doses, and pushing to higher doses unnecessarily may increase side effects without proportional therapeutic benefit
