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A rare but clinically significant manifestation is pseudo-thrombotic microangiopathy (PTMA), which closely resembles true thrombotic thrombocytopenic purpura (TTP), characterized by hemolytic anemia, thrombocytopenia, the presence of schistocytes, and elevated lactate dehydrogenase (LDH) levels [2]

It is used in adults for the long-term treatment of anemia caused by vitamin B12 deficiency (called pernicious anemia) after blood levels have been brought back to normal through treatment with vitamin B12 injections.

Human studies have not shown the same effect, but the family-history exclusion for medullary thyroid cancer is kept in place as a precaution

Key Benefits: Boosts Metabolism Speeds up your metabolic rate to promote more efficient fat-burning

Identifying Symptoms of Vitamin B12 Deficiency Do you find yourself constantly feeling weak or fatigued