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Dietary deficiency: Strict vegans or very poor diets may lack animal-source B12

Finally, KPV steps in to manage the immune response, making sure everything proceeds smoothly

It typically presents as macrocytic megaloblastic anemia and neurological impairments, including sensory and motor disfunctions, predominantly in the lower extremities, ataxia, and in more advanced stages cognitive decline progressing to dementia, as well as psychiatric disturbances (Sanjay et al., 2022

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If you take both metformin and tirzepatide, your risk of B12 deficiency is compounded (no pun intended)

Once reconstituted for laboratory use, solutions should be kept at 4C and used within 48 to 72 hours