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The need for vitamin B 12 is increased by pregnancy and lactation
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Case presentation Patient background: Age/gender: 33-year-old woman Symptoms: Right medial elbow pain persisting for one year following a minor trauma Previous treatment: Physical therapy and NSAIDs, with no significant improvement The patient reported ongoing pain in the medial aspect of her right elbow, which significantly affected her daily activities
Oral B12 supplements rely on the digestive system for absorption, which can be significantly impaired by gut conditions, age-related changes, or the absence of intrinsic factor (a protein required for B12 absorption)
A rare cause is transcobalamin II deficiency, a genetic condition where your body can't transport B12 (also known as cobalamin) in your body
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