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Several coexisting conditions may falsely lower serum B 12 levels, including oral contraceptive use, multiple myeloma, pregnancy, and folate deficiency

Crash diets and extreme calorie restriction may produce short-term numbers on the scale but often lead to muscle loss, nutrient deficiencies, and rebound weight gain once normal eating resumes

By late 2025, new lines should be fully online and healthcare sites will fight for limited stock, thus trying to push independent pharmacies away

There are other types of MMA which cannot be treated with vitamin B12

No participant withdrew from any trial due to treatment-related adverse effects