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Digestive issues including celiac disease can decrease the amount of Vitamin B12 your body can absorb Pernicious anaemia will result from your body not absorbing Vitamin B12 from your food Kidney disease, Crohns disease and ulcerative colitis will see B6 or B9 levels fall Rheumatoid arthritis is commonly associated with Vitamin B6 deficiency and the disease can worsen this Cancer or chronic inflammation can degrade Vitamin B6 and heighten demand for B9 How Can I Get More Vitamin B

Bitamin (Vitamins) 2004;78:254

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Recommended dose: two separate IV injections of 510 mg each, administered over at least 15 minutes, 3 to 8 days apart (total cumulative dosage: 1,020 mg)

This case emphasizes the diagnostic challenge of PTMA in elderly, post-COVID-19 patients, and highlights the importance of distinguishing it from true TMA to avoid unnecessary treatment