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Description
This is thought to be due to anaemia that can occur as a result of vitamin b12 deficiency

Practical considerations for arthritis patients differ from athletic applications

But early-stage aggregation is invisible
Peterson, James J

Im also allergic to penicillin and sulfa with no severe allergic reaction

Proton pump inhibitors and similar medications that lower stomach acid might decrease the absorption of vitamin B12 from food, but this is less of a concern when receiving B12 injections because they bypass the digestive system entirely
