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Before initiating treatment, its essential to rule out secondary causes like hyperthyroidism, infections, diabetes, or medication side effects

A lack of vitamin B6 can result in anemia, a weakened immune system, and depression [26]

This occurs when the bone marrow suddenly starts producing platelets more effectively, along with a rebound effect where platelet production overshoots normal levels

The most frequent adverse reactions associated with vitamin B12 are transient chromaturia, increased blood pressure, nausea, and headache

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