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D.HabibiN.WuD.LahannJ.MitragotriS

Table 3 summarizes the efficacy and hepatotoxicity risks of commonly used oral systemic treatments, highlighting key clinical outcomes and safety considerations

Baillargeon J, Platz EA, Rose DP, Pollock BH, Ankerst DP, Haffner S, et al

Cons: Needs medical supervision, possible discomfort from injections, and generally higher costs compared to tablets

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If you dont get enough B12 in your diet or through supplementation, you may develop one or more of the following symptoms [4]: - Mild fatigue during exercise or daily activities - Heart palpitations - Skin paleness or hyperpigmentation - Glossitis (tongue inflammation) - Neurological symptoms such as loss of reflexes, loss of proprioception (knowing where your limbs are without looking at them), forgetfulness Signs that healthcare providers use to detect a B12 deficiency include [4]: - Megaloblastic anemia (abnormally large and nucleated red blood cells) - Abnormal blood work, including decreased levels of haptoglobin