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Description

(2004) Anemia, serum vitamin B12, and folic acid in patients with rheumatoid arthritis, psoriatic arthritis, and systemic lupus erythematosus

Even if you eat healthily and exercise, you may invariably be short on specific nutrients due to poor food quality (soil and pesticides affect nutrient value), stress, or absorption issues

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Patients taking certain medications (e.g., chloramphenicol may reduce the effectiveness of B12 therapy) or with risk factors for B12 deficiency (metformin use, proton pump inhibitors, nitrous oxide exposure, vegan diet) should discuss these with their healthcare provider