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1,4 Cobalamin deficiency leads to various clinical and metabolic consequences, including vomiting, diarrhoea, weight loss, failure to thrive, nerve disorders, immunodeficiency, and intestinal changes including poor absorption of nutrients and vitamins (including cobalamin itself)

Deokar GK, Ingale AG (2016) Green synthesis of gold nanoparticles (elixir of life) from banana fruit waste extract-an efficient multifunctional agent

in iron deficiency anemia this is because total body iron stores are low, and in ACD this is because iron has been sequestered out of the blood

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Some individuals receive treatments occasionally during periods of increased stress, travel, or physical exertion, while others establish a more regular wellness routine