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Initial blood work is recommended to confirm whether a patient is genuinely deficient in B12 and needs supplementation, or whether another underlying issue may be affecting energy, weight, or metabolic function

This hormonal imbalance often leads to skin that feels drier, less elastic, and more prone to fine lines

Aucott [email protected] This article was submitted to Infectious Diseases - Surveillance, Prevention and Treatment, a section of the journal Frontiers in Medicine Disclaimer All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers

doi: 10.3136/fstr.FSTR-D-22-00120 32

Immune mechanisms in inflammatory anemia