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In particular, the immediate recovery of collaterals and bypassing of the obstruction, a feature noted in the present study, and the rapid reestablishment of blood flow in both the ischemic and reperfusion conditions may be responsible for its subsequent strong angiogenic effect and its healing effects[2,22-28], which are more pronounced than those of standard anti-ulcer agents[23]

PubMed 5.Gojkovic S et al

[15] [18] For borderline results, additional tests such as methylmalonic acid, homocysteine, or holotranscobalamin may be considered

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It can be intermittent at first, often noticed on waking