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Clinical Presentation and Natural History The most important determinant of the severity of acute hepatitis A is the age at which infection occurs

Therefore, it can be challenging to interpret the clinical significance of anal sphincter defects (ie, the extent to which a sphincter defect explains anal weakness)

If b12 provided acute anti-nausea effects, we would expect immediate relief after b12 injection

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Patients Seeking Wellness Support Some GLOW patients without clinical deficiency use periodic B12 injections for energy optimization