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Ischemia was confirmed by an rCBF decrease of more than 70% compared to baseline
In cases where the cause remains unclear, treatment fails, or there is significant neurological involvement, referral to haematology or gastroenterology may be appropriate for further investigation
Others who may be more susceptible to vitamin B12 deficiency are patients diagnosed with Crohns disease or celiac disease, and those who have undergone intestinal procedures such as weight loss surgery
10,11 This recommendation is partially based on a randomized, noninferiority trial of 250 patients at a stable warfarin dose for 6 months
However, there is research suggesting that combined contraceptives (like the pill) can become less effective if used at the same time as an anti-fungal medication called griseofulvin [4]
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