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This is because folate supplementation may improve symptoms to the point that the B12 deficiency is not detected in tests, and therefore is not treated

The report also states that there were six grade 3 adverse events which were not associated with the vaccination: acute sinusitis, an exacerbation of urolithiasis along with renal colic and deep vein thrombosis (both associated with pre-existing comorbidities) and extremity abscess (due to physical injury and subsequent infection of the wound surface of the soft tissues of the finger)

It also affects the parietal cells in stomach (parietal cells produce gastric acid to aid digestion of food) through the production of antiparietal cells antibodies results in chronic failure of gastric acid production

For dietary deficiency, referral to a dietitian can provide valuable guidance on food sources and supplementation strategies