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B12 is water-soluble, and excess amounts are simply excreted by the kidneys

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Investigations may include blood tests (to assess glycaemic control, inflammatory markers, thyroid function, or vitamin B12 levels), and referral to dermatology or neurology if indicated

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(2014) revealed that removal of cecal lymphoid tissue in animals decreased colonic IgA+ cell accumulation in the large intestine and altered fecal microbiota composition

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Ecological momentary interventions: incorporating mobile technology into psychosocial and health behaviour treatments

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For references and more information , see the section congestive heart failure in the Vitamin D article

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