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When the body lacks adequate B12, it struggles to produce sufficient red blood cells, leading to decreased oxygen delivery to tissues and organs, resulting in fatigue, weakness, and lethargy

Clinical questions A 50-year-old woman with a long-term history of severe facial eczema presents with nonpruritic facial erythema and scattered papules on the cheeks and forehead with no crusting, scaling, indentation, or comedones

Persistently high homocysteine can also risk problems with the cardiovascular system and blood cell formation

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