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Imerslund-Grsbeck syndrome in a 15-year-old German girl caused by compound heterozygous mutations in CUBN
Research shows it can protect esophageal tissue from acid damage and promote healing of esophageal lesions
This matters because the color change reflects actual chemical degradation
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Cyanocobalamin clears faster and requires more frequent dosing, so it has largely fallen out of routine use here
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