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If you are on blood thinners and see black stool, it may indicate that a small, otherwise minor irritation in your stomach is bleeding more than usual

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Ive had quite a few NHS blood tests for it and before I found B12 it seems all my symptoms pointed to that

Journal of Physiology & Pharmacology, 72(4), 543556

Patients with chronic kidney disease, particularly those with significantly reduced glomerular filtration rate, may demonstrate persistently elevated B12 levels without other pathology

1.6 g/kg/day total protein with 3 g leucine per meal across 34 meals optimizes muscle protein synthesis during caloric deficit