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The protocol of surveillance should be every 3 months in the first year, every 6 months in the second year, and then annually thereafter in cases of HGD or IMC
South African Medical Journal
Common B12 Deficiency Symptoms: Persistent brain fog and cognitive decline affecting daily performance Chronic fatigue unrelieved by rest or lifestyle modifications Migraines and neurological symptoms including neuropathy Depression , anxiety, and seasonal affective disorder Memory loss and increased risk of dementia and Alzheimers Digestive issues and compromised immune system function Infertility and reproductive health complications Medical Conditions and Risk Factors Numerous medical conditions significantly increase the risk of B12 deficiency by interfering with absorption, utilization, or storage of this essential vitamin
At the same time the reduced glutathione retires the H 2 O 2 , from the erythrocyte in a reaction catalyzed by the peroxidase glutathione
Goldhirsch A, Winer EP, Coates AS, Gelber RD, Piccart-Gebhart M, Thrlimann B