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It identifies governance questions for appropriately authorised laboratories and institutions

For example, a B 12 -deficient state which causes megaloblastic anemia and which may be mistaken for classical PA may be caused by infection with the tapeworm Diphyllobothrium latum , possibly due to the parasite's competition with host for vitamin B 12

A few commenters emphasized the importance of a diverse physician workforce in achieving positive health outcomes, addressing upstream drivers of health (such as housing and food insecurity), and reducing health disparities, with a commenter adding that the shift away from training informed by diverse American experiences risks eroding trust in healthcare institutions, especially among underserved groups

Since embarking on the petition to make B12 OTC, some have commented that they fear that GPs might stop giving B12 altogether if successful