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The realistic caveat is that long-term maintenance without pharmacologic or procedural support is difficult for most people which is the entire reason the rest of this list exists

Vitamin B12 deficiency is Symptoms of B12 deficiency include: rapid breathing shortness of breath headaches palpitations or fast heart rate indigestion, diarrhea, or loss of appetite blurry vision weakness or tiredness mouth ulcers or irritation cognitive changes, such as difficulty with memory, judgment, or understanding infertility Contact your doctor to discuss injections or supplements if you experience any conditions or risk factors related to vitamin B12 deficiency

Are there any side effects to B12 IV therapy

The active synthesis of phosphatidylcholine is required for very low density lipoprotein secretion from rat hepatocytes PubMed

In summary, Vitamin B12 deficiency is a big cause of thrombocytopenia