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doi: 10.1046/j.1365-2125.2003.01907.x
Toxic megacolontotal or segmental nonobstructive dilatation of the colon with systemic toxicity in patients with IBD or infectious colitis Laboratory values of acute phase reactants, including the erythrocyte sedimentation rate and C- reactive protein, can be increased but may also be normal in mildly active disease
The therapy rapidly restores B12 levels, often showing improvements in energy and cognitive function within 48 hours
The doctor should discuss the best way to take vitamin B12 supplements with the patient, as this needs to be taken for life
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