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Hambleton et al , 2013

PMID: 28189172 6 Intramuscular Cyanocobalamin Treatment in Patients with Corpus Atrophic Gastritis and Vitamin B12 Deficiency: Efficacy and Predictors of Increased Requirement-A Monocentric Longitudinal Real-Life Cohort Study

As well as many mentions on: PMRGCAuk healthunlocked.com/pmrgcauk Hi Helvella, I had already pointed EllaNore in the direction of the Hughes Syndrome forum of which I have been a member for a number of years

One of the main causes is the autoimmune condition pernicious anaemia

MAOIs inhibit the enzymatic degradation of serotonin, dopamine, and norepinephrine any peptide that increases availability of these neurotransmitters, even indirectly, can precipitate serotonin syndrome