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Clinically significant vitamin B 12 deficiency and megaloblastic anemia are unlikely, unless these drug therapies are prolonged for two or more years, or if in addition, the person's dietary intake is below recommended levels
SARS-CoV-2 infection: can ferroptosis be a potential treatment target for multiple organ involvement
Chiorini, D
If you have vitamin B12 deficiency from pernicious anemia or as a result of bariatric surgery, then you must supplement with vitamin B12 regularly in order to prevent debilitating symptoms such as fatigue, depression, muscle pain, memory loss, and other signs of cognitive and neurological breakdown
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