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Obviously, if there's any sort of vagal nerve dysfunction, you're stuck in this dysautonomic sympathetic driven state

So, you measure a higher B12, but part of that B12 is inactive, so useless Oral B12 supplementation, even in the form of a multivitamin preparation, may result in serum B12 concentrations just within the normal range without abolishing symptoms

This raises profound ethical and practical questions about the future of organ generation and bio-engineering

It is currently used in Germany and Switzerland as a remedy for indigestion