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Klker S, Burgard P, Sauer SW, Okun JG (2013) Current concepts in organic acidurias: understanding intra- and extracerebral disease manifestation

Once stabilized on a maintenance dose, the focus can shift to long-term nutritional support

You are at risk for B12 deficiency if you: Are a vegetarian Are a vegan Have chronic gastritis Have had previous surgery on your stomach Have any chronic bowel conditions, such as Chrons disease or colitis You take certain medications, such as proton pump inhibitors (PPI's) - a medicine sometimes used to treat heartburn and indigestion What are the signs and symptoms associated with a B12 deficiency

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Reduces Dark Circles and Under-eye Puffiness: The inclusion of Liquorice and Bearberry Extracts helps reduce the appearance of dark circles under the eyes and may soothe and brighten the delicate skin in that area