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clinicians should consult trial protocols, seek endocrinology input, and document clinical rationale with informed consent

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Patients who completed SIBO treatment and cleared the bacterial overgrowth but are still symptomatic because the underlying mucosal damage was never addressed

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In these patients some of the competitive binding chemiluminescence assays can be influenced by the presence of interfering antiIF antibodies, thereby providing spuriously elevated serum cobalamin concentrations, as noted earlier