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En l'absence de rponse thrapeutique lors de l'administration de vitamine B12 au cours d'anmies mgaloblastiques, le diagnostic d'un dficit du mtabolisme de l'acide folique doit tre considr

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Absorbed B12 has entered circulation Factors Affecting the Increase: Absorption efficiency: Normal intrinsic factor: ~50% absorption of dietary B12 From 5 mcg in food ~2.5 mcg absorbed Baseline B12 status: If deficient, the body retains more If replete: excess excreted quickly Individual variation: Gastric acid production Intrinsic factor levels Intestinal health Conclusion: A single meat meal 12-24 hours before testing can cause a small (10-20%) increase , but usually not enough to dramatically change the interpretation Scenario 3: Regular Meat Eating for Days/Weeks Timeline: Baseline: B12 = 300 pg/mL Intervention: Eat red meat daily for 2 weeks Retest: After 2 weeks Expected Result: Moderate increase 350-450 pg/mL (depending on baseline status) Why