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We can provide treatment on our service for those who have one or more of the symptoms above and at least one of the following risk factors, following a consultation with one of our Pharmacists: Follows a vegan diet Pernicious anaemia Folate deficiency Intrinsic factor receptor deficiency, congenital intrinsic factor deficiency, cobalamin mutation or transcobalamin deficiency Another condition that affects how the body absorbs vitamins and nutrients such as Crohn's disease or Irritable Bowel Syndrome If you have similar symptoms to those above but without any risk factors, you will need to test for Vitamin B12 deficiency before any treatment can be offered

International Journal of Pharmaceutics, 617 , 121592

When platelet levels drop, doctors may investigate possible medical causes and recommend nutritional or medical treatment

Pheomelanin is lighter than eumelanin so it makes the skin appear lighter when cysteine is present

PMID 10812052