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This case emphasizes the importance of considering vitamin B12 deficiency as a reversible cause of hemolysis

If someone is on an immunosuppressant drug (as listed below) or has an immunodeficiency disorder, received the J&J (Janssen) vaccine, and is not expected to respond well to the J&J vaccine, then a supplemental COVID vaccine shot should be given using an mRNA vaccine (Pfizer or Moderna)

Unlike some countries where patients might self-administer injections at home, the Japanese healthcare protocol typically requires a physician to oversee the process

It can result from several factors including non-steroidal anti-inflammatory drugs, infections and aplastic anaemia

Research also indicates these forms may compete for absorption with bioavailable forms of B12, potentially making a deficiency even worse

Can you not persuade her to sign up for herself, what you're telling her is sort of 3rd hand, she might be better reading it for herself