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Neurological examination revealed mild weakness in the bilateral upper and proximal lower limbs, brisk deep tendon reflexes and bilateral extensor plantar response, suggesting myelopathy

Anemia of chronic disease can be caused by the following chronic conditions: Autoimmune diseases, such as rheumatoid arthritis or lupus Cancer Infectious diseases, such as HIV/AIDS and tuberculosis Chronic kidney disease (as well as dialysis, which is used to treat it) Inflammatory bowel disease, such as Crohns disease or ulcerative colitis Other chronic diseases that involve inflammation, such as diabetes and heart failure How Is Anemia Diagnosed

Most of our patients on metformin with B12 deficiency will fall into the not diet-related category and, therefore, many will eventually require intramuscular replacement

Vitamin B12 is a vital nutrient that helps the body produce red blood cells and maintain a healthy nervous system

Hypokalaemia (low blood potassium) in the first weeks of loading-dose treatment in patients who started severely deficient