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Hopefully the dermatologist I see will have some familiarity or understanding of this
Adults in San Francisco with low B12, limited intake from vegan or vegetarian diets, absorption issues, or those taking metformin or acid reducers may benefit
"Although many of the symptoms improve with treatment, some problems caused by the condition can be irreversible if left untreated," warns the NHS

Vitamin B12 is essential during pregnancy to help the formation of red blood cells in the mother but also helps protect the central nervous system and spine of the baby