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PMID 26926974

[13] Chloramphenicol has been shown to blunt reticulocyte response to cyanocobalamin, while ethanol, colchicine, and nitrous oxide interfere with cobalamin metabolism or utilization, each warranting clinician awareness when evaluating suboptimal treatment outcomes

Vitamin B12 deficiency anaemia is usually treated with injections of vitamin B12

Ethical approval was granted by the Ethics Committee of the Health Sciences Centre, Kuwait University (No

At the same time, B12 insufficiency in the liver leads to shrinking of the intestinal cells and malabsorption of nutrients (including B12 itself), leading to a cycle of worsening B12 deficiency