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Thus, the healing of the esophagocutaneous, gastrocutaneous, duodenocutaneous, colocutaneous, vesicovaginalis, and rectovaginalis fistulas, assessed grossly, biomechanically and microscopically means demonstration of the both external and internal fistulas healing and consequently, the realization of the simultaneous healing of different tissues

I am in Germany and noticed my first B12 prescription included this, so I assume it is safe

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doi: 10.4103/1673-5374.306060 76 HlscherC