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These include being of African American descent, having kidney disease, being male, being young, having high blood pressure, being in a lower socioeconomic status, having a particular type of autoimmune disorder called antiphospholipid antibody syndrome, having antiphospholipid antibodies (proteins produced by the immune system that mistakenly attack the bodys own cells), and overall high disease activity

You should maintain a routine until your symptoms clear up, and then follow your doctors specific maintenance regimen if you suffer from conditions that lead to B12 deficiencies or already have a deficiency

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More serious risks are more intense abdominal pain, persistent vomiting, and severe dehydration