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J Dermatol (1986) 13(5):3859
Sometimes the elevated B12 is a flag pointing at something else most commonly mast cell activation syndrome that's been driving the symptoms all along
Sufferers are usually told to avoid the trigger factors, which can mean a restricted diet
Therefore, this report represents the first documented prolonged water fast for a patient with morbid obesity (BMI 40) since 1973, when Angus Barbieri lost 276 pounds (82 kg) over 382 days [10]
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