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Psychological factors: Anxiety about injury, frustration with limitations, depression from activity restrictions all common and impactful

You follow a vegan or vegetarian diet and have limited dietary B12 sources

Daver N, Basu S, Garcia-Manero G, Abbas HA, Konopleva M, Kadia TM DiNardo CD, Borthakur G, Alotaibi AS, Pemmaraju N, Jabbour E, Pierce SA, Brandt M, Takahashi K, Ning J, Kornblau SM, Sasaki K, Yilmaz M, Issa G, Short NJ, Matthews JA, Flores W, Andreeff M , Cortes JE, Ravandi F, Allison JP, Kantarjian HM, Sharma P

Jama 279 (20), 16151622

10.5829/idosi.wjms.2015.12.4.10114 World J Med Sci

The doctor told him to come back if his condition didn't improve - and it didn't