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Medical necessity pre-edits are overly aggressive

The combination of the high moisture content of masa and high masa holding temperatures before baking is the likely cause of folic acid chemical degradation when using the traditional method

Non-availability of IF is a serious issue as it limits the absorption of B12 (through diffusion) to approximately 1-2%

Sources: Natural dietary sources of vitamin B12 primarily come from animal products, including meat, fish, poultry, eggs, and dairy products

doi:10.1089/acm.2011.0531 Poloni MM, Marques NP, Ribeiro Junior NV, Sperandio FF, Hanemann JAC, de Carli ML

Severe symptoms interfering with work, social activities, or sleep warrant medical discussion even if no underlying pathology is identified