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Vitamin B12 deficiency is characterized by a specific type of anemia called megaloblastic anemia

Cang pu ( Acorus tatarinowii , 10 g/d)

Immediate Effects: Pain relief: Some patients experience immediate pain relief within hours after the first injection due to the analgesic properties of vitamin B12

Since B12 is found primarily in animal products, including meat, fish, dairy, and eggs, a substantial reduction in food intake can reduce B12 consumption below optimal levels, particularly for patients who were already borderline deficient before starting treatment or whose diets lean toward plant-based foods

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