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What labs might help clarify the bigger picture

Sep 16 2019;7(3)doi:10.3390/vaccines7030116

Regular monitoring is generally unnecessary for those taking standard over-the-counter supplements, but individualised advice ensures safe and appropriate use

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However, risk factors include: a family history of pernicious anemia a family history of other autoimmune disorders, such as vitiligo and Addisons disease being female older age Pernicious anemia is a common cause of vitamin B12 deficiency