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It is found in a wide variety of foods, including vegetables (spinach, asparagus, and Brussels sprouts are highest), nuts, beans, peas, fruits, and fruit juices, and meat (liver is highest), eggs, seafood, yeast, and dairy products
Diagnosis typically involves blood tests including full blood count (showing macrocytosis), anti-intrinsic factor antibodies (which are specific for pernicious anaemia), and sometimes anti-parietal cell antibodies
That said, some people prefer to let their BAC water warm to room temperature before reconstituting, for practical reasons
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