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Secondary polycythemia (D75.1) : Treat the underlying cause (supplemental oxygen for COPD/OSA, CPAP for sleep apnea, nephrectomy/embolization for EPO-producing renal tumors)

This form of B12 has been used safely for decades to treat B12 deficiency and is approved by regulatory agencies like the FDA

Get free card Natural sources of vitamin B12 You can get vitamin B12 from animal-based foods like: meat and poultry fish dairy products eggs seafood In addition, some non-animal foods are fortified with vitamin B12, including: nutritional yeast breakfast cereals plant-based milk meat substitutes When to take a supplement The 2015 review referenced earlier notes that you can manage vitamin B12 deficiency with oral B12 supplements or intramuscular injections when treating pernicious anemia

By closely monitoring your symptoms and vitamin B12 levels, you can ensure adequate levels of this essential vitamin and maintain overall health