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Ineffective erythropoiesis leads to the formation of large, spherical erythrocytes, the lifespan of which is shortened due to their abnormal structure and lower resistance to mechanical damage and other environmental conditions

doi: 10.1159/000338435

Important : If B12 deficiency is suspected, folic acid should not be started before B12 deficiency is excluded or treated, as this can worsen neurological complications

General Wellness and Resilience: As a broad-spectrum cellular health molecule, NAD+ contributes to the overall resilience of the body against various stressors

If you have several of those symptoms, please see your GP for a blood test

Prospective monitoring In daily practice, I often ask my patients with B12 deficiency to maintain a sheet with their most prominent symptoms