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I asked her to list her symptoms and grade them on a scale of 1 to 10, 1 being very minor, and 10 being a very heavy or severe symptom

Additional risk factors include: Chronic kidney disease : Reduced renal clearance may impair B12 excretion Liver disease : Hepatic dysfunction can disrupt B12 metabolism and storage Myeloproliferative disorders : Certain blood cancers increase B12-binding proteins Concurrent medication use : Some drugs may interact with B12 metabolism, including metformin, proton pump inhibitors, and H2 antagonists Patients with these conditions should have B12 supplementation carefully monitored by their healthcare team

If youre experiencing discomfort, try switching supplement types or consulting a healthcare provider for guidance

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