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What would happen is over time, someone who is, let's say, taking it for their back, like, oh my gosh, I have back pain

Vitamin B 12 (cobalamin) deficiency is a common cause of megaloblastic anemia, a variety of neuropsychiatric symptoms, and elevated serum homocysteine levels, especially in older persons

Arvela, Graham A
Redistribution of compressive stresses causes regions of low and high compressive stresses, both of which are known to inhibit disc cell metabolism 47 and thereby increase the risk of internal disruption and degeneration

Reversal of inhibitors by immune tolerance induction (ITI), which involves repeated and prolonged administration of high FVIII doses, is currently the only approved strategy to eradicate inhibitors [141143]
