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18 The test should be performed in-house, because the parasite is unlikely to survive the trip to the laboratory

Since Vitamin B12 is mostly taken in with animal products such as meats, shellfish, dairy and eggs, people who abstain from animal based proteins are more commonly afflicted

However, symptoms occurring more than twice weekly, especially when accompanied by difficulty swallowing, persistent cough, or sleep disruption, indicate a more serious condition requiring comprehensive management