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Another unique aspect of CHIVA is that rather than attempting to completely eliminate all reflux, as in other surgical methods, CHIVAs goal is interruption of venous hypertension at its source, higher up in the venous system (Mowatt-Larssen 2010

Certain medical conditions, such as pernicious anaemia, can also affect a persons absorption of vitamin B12 from foods

If you want a plain-English look at who genuinely needs the vitamin, our companion piece on B12 injections covers that in full