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VITAMIN B12 is an essential B Complex vitamin, vitally involved in many critical metabolic processes related to coenzymes for tissue formation, DNA synthesis, complete utilisation of carbohydrates and proteins for nervous tissue maintenance and energy production, and blood counts

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It could also be dehydration, inadequate protein, or micronutrient gaps in general

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Its pathogenesis primarily involves immune dysregulation, including breakdown of immune tolerance, alterations in the immune microenvironment, and dysregulation of T cell subsets (158, 159)