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This can be considered a secondary effect of a lack of vitamin B12 in the diet since it directly interacts with the amino acid methionine, which influences skeletal muscle growth and overall bone development

The British Society for Haematology (BSH) published their Guidance on treating Pernicious Anaemia during Covid-19 two weeks ago

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Importantly, these changes were observed without significant reductions in food consumption, pointing to enhanced energy metabolism rather than appetite suppression as the primary mechanism