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You might have nail pitting long before your fingers swell

Managing side effects involves hydration, dietary adjustments, and close monitoring

10.1038/s41467-022-32505-8 13 DouY.LeeA.ZhuL.MortonJ.LadigesW

This chronic, systemic depletion allows environmental toxins and latent, dormant infections (such as EBV or human herpesviruses) to reactivate and accumulate, continuously driving immune dysfunction, mast cell activation syndrome (MCAS), and unrelenting fatigue

These include: Older adults, as they absorb B12 less easily Vegetarians and vegans, because B12 is mostly in animal products People with stomach problems like celiac disease or Crohns disease Those who have had gastric bypass surgery Knowing these risk factors helps find who might need to check their B12 levels

We did not find evidence for increased hepatic gluconeogenesis or increased glycogenolysis gene expression in response to statins in either sex