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Operating on a patient with an uncorrected B12 deficiency increases the risk of: Impaired wound healing and a higher chance of wound breakdown Post-operative fatigue and slower recovery, particularly if anaemia is also present Elevated homocysteine, which feeds into an already elevated DVT risk profile A sub-optimal immune response during the early wound healing phase None of these is certain to happen

It may affect the lining of the digestive tract, leading to symptoms such as nausea, diarrhoea, constipation, bloating , and loss of appetite

The anti-itch combination protocol: Layer 1: Oral antihistamine (cetirizine 10mg in the morning) Layer 2: Topical hydrocortisone 1% applied to affected area twice daily Layer 3: Cold compress for breakthrough itch (10 minutes as needed) Layer 4: Diphenhydramine 25mg at bedtime if itch disrupts sleep Avoid scratching at all costs

Beyond the common childhood maladies, my health was a tapestry of oddities