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Leaving it to the public to report side effects is difficult because many do not understand their body or have access to good health care and by the time they do find a diagnosis it is later after visits to multiple doctors

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10.1016/j.jjcc.2014.02.001 30 FrederickD

Elevated levels of interleukin 6 are reduced in serum and subcutaneous adipose tissue of obese women after weight loss

Transcobalamin II deficiency is a rare genetic disorder that impairs cobalamin transport [vitamin B12] within the body

Although the progression of neurologic complications is generally gradual, such symptoms may not be reversed with treatment of vitamin B 12 deficiency, especially if they have been present for a long time