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Additional risk factors include: Chronic kidney disease : Reduced renal clearance may impair B12 excretion Liver disease : Hepatic dysfunction can disrupt B12 metabolism and storage Myeloproliferative disorders : Certain blood cancers increase B12-binding proteins Concurrent medication use : Some drugs may interact with B12 metabolism, including metformin, proton pump inhibitors, and H2 antagonists Patients with these conditions should have B12 supplementation carefully monitored by their healthcare team

A migraine is a thief

Side effects are dose-dependent and typically resolve quickly after application adjustment

If back pain comes with neck pain, shoulder pain, and hip pain all at once, fibromyalgia becomes more likely than a simple spine problem

Advances in understanding the molecular mechanisms that maintain normal haemostasis