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This is one of the key processes that slow down cellular aging
In more severe cases, you might develop megaloblastic anemia, a condition where your red blood cells become abnormally large and can't carry oxygen effectively
As skin ages, the cellular processes that once kept it firm, resilient, and quick to repair gradually slow down
The early afternoon timing of the second dose is critical for avoiding the sleep disruption that can plague people on this medication
Where results are borderline, measurement of methylmalonic acid (MMA) or holotranscobalamin (active B12) may help clarify the picture, as recommended in NICE CKS guidance on B12 and folate deficiency anaemia
And timing is one of the most powerful tools you have for managing them
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