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I've had that on b12 injectionson snd high doses of vit d which at first I thought was hormonal flushes back but ir wasn't All sorts if reasons can causes it You could've passively absorbed some b12 from the tablet I woudnt even mention it at this stage as it coujdve have been either

Without enough vitamin B12, the process becomes disrupted, leading to megaloblastic anemia a condition characterized by abnormally large red blood cells that are unable to carry oxygen efficiently throughout the body

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If you have a history of cancer, autoimmune disease, or are pregnant or breastfeeding, most doctors say to stay away