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A consultation with a Primary Care Provider is still a good idea if: Your B12 levels are persistently low or high without explanation You have a family history of autoimmune conditions or GI cancers You are vegan, over age 60, or on long-term medications that may interfere with B12 If symptoms persist, especially if they worsen, seeking medical attention is important to determine the cause and start appropriate treatment, says ter Keurs

These rashes are often very red, macerated, and erosive-looking and are accompanied by red bumps or papules

in December 2020

Although patients with pSS could develop AIG, as well as PA and SCD due to vitamin B12 deficiency, the coexistence of pSS and complications of AIG including macrocytosis (early PA) and SCD has not been reported in the literature

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