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Even with adequate dietary intake of vitamin B12, poor absorption in the gut can still lead to vitamin B12 deficiency. Taking vitamin B12 as an oral supplement is largely a waste of money

For acute flares of gout, it is key to treat as quickly as possible and choosing a medication least likely to cause side effects, with special attention to individual comorbidities

If the Cause is "Chronic": * Crohn's Disease: As a chronic inflammatory disease, Crohn's doesn't have a simple "cure." However, modern treatments (like biologics and immunosuppressants) are incredibly effective at putting the disease into remission

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