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This plan may include additional non-operative treatment options such as physical therapy and lifestyle changes

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It's important to consult a healthcare provider if you're taking medications and considering B12 supplements

Keywords: macrocytic anemia, pancytopenia, pernicious anemia, severe vitamin b12 deficiency, thrombocytopenia Introduction Vitamin B12 plays a vital role in the synthesis of DNA in the precursors of red blood cells and is essential for their maturation

Sometimes the elevated B12 is a flag pointing at something else most commonly mast cell activation syndrome that's been driving the symptoms all along