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The possibility of overdosing on vitamin D , which can lead to hypercalcaemia high levels of calcium in the blood with symptoms like nausea and weakness

In our experience, this is most evident when hemoglobin levels are normalized with ESA therapy

Data Availability Statement The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request

The mechanism appears to involve changes in how skin bacteria produce porphyrins, compounds that can promote inflammation within hair follicles