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So when a medic says that someone with PA "can use the stored B12 in their liver", as far as I know, we simply don't know whether this is true or not

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Milk thistle, scientifically named silybum marianum, is originally native to Southern Europe through to Asia but today found throughout the world

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Some of the B12 from the liver is excreted in the bile and reabsorbed in the intestines through a process known as enterohepatic circulation (Shibboleth Authentication Request, n.d.)