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They control inflammation rapidly but cause weight gain, bone loss, diabetes, cataracts, skin thinning, muscle wasting, mood changes, and increased infection risk

If the GP says that she doesn't have macrocytic anaemia so doesn't need this pattern of treatment, you could point out that NICE guidelines for B12 deficiency say that "Note: clinical features of vitamin B12 deficiency can occur without anaemia and without low serum levels of vitamin B12." cks.nice.org.uk/topics/anae

A new role for hypoxia in tumor progression: induction of fragile site triggering genomic rearrangements and formation of complex DMs and HSRs

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As with any symptom that feels too intense, discuss your nausea with your health care provider if it is interfering with your daily life