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If your body doesnt produce enough intrinsic factor, it can become B12 deficient

10.1038/ncomms10894 106 NoctorG.QuevalG.MhamdiA.ChaouchS.FoyerC

For both types of SAM, FSMS-RUTF and MSMS-RUTF treatments were non-inferior to the PM-RUTF treatment in restoration of the EAA and cystine except that for FSMS-RUTF, methionine and tryptophan partially satisfied the non-inferiority criteria in the oedematous group

Cardiac markers Serum creatine kinase-MB (CK-MB) was determined by the kinetic method using commercial kits (Spectrum, Egypt), and troponin I was measured using a commercial ELISA kit (DRG International Inc., USA)