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These symptoms overlap with several other conditions, such as chronic fatigue syndrome, fibromyalgia and long COVID and, as a result, it is not always obvious when a referral for a serum vitamin B12 should be made
Vaccinations: Patients on biologic or immunosuppressive therapy need specific vaccines (avoid live vaccines)
Can intravenous B12 therapy be used, and when is it indicated
During programmed cell death, cleaved caspase-3 cuts PARP into distinct fragments, effectively halting its repair functions and locking the cell into an irreversible death program
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