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Keep a short food-and-symptom log for two weeks, then look for patterns

Lee and Ashkar, 2018

While it is not clear how this translates to the kinetics of cAMP production in cells expressing individual receptors, the divergence in peptide responses across each receptor is consistent with the dynamic conformational differences that were observed structurally for individual AMYRs bound to distinct peptides

Other causes of vitamin B12 malabsorption include Addisons pernicious anaemia, bariatric surgery, coeliac disease, bacterial overgrowth and parasitic infections and inflammatory bowel diseases (13, 14)