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Your GP will typically repeat the B12 test, review any supplements or injections you're taking, and check a full blood count to exclude blood disorders

Prescription is only available after consultation with a licensed provider to determine if treatment is appropriate.

I think I will call them, or write them, and simply ask

In clinical gastroenterology, "leaky gut" is not a primary medical diagnosis like Crohn's disease or celiac disease.Increased intestinal permeability is a secondary consequence of underlying inflammation, dietary triggers, or microbiome dysbiosis

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PMID 23870976