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B-12 - contraindicated in Lebers disease (optic atrophy)
If switching to a plant-based diet, it usually takes years before a clinically manifest deficiency develops, especially taking the reserve capacity of the body into consideration
4 How is pernicious anemia diagnosed
If you are busy with your patients and dont have time to code for anemia and related ailments, consult I-Med Claims
(PubMed) Stabler SP, Lindenbaum J, Allen RH
A deficiency can lead to a form of anemia that causes fatigue
