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I'm asking you to do this for several reasons

The same old line about too much B12 being harmful (which is complete rubbish) is often used in these letters and if the patient is unaware of the truth about B12 they might quietly comply with the harmful removal of their vital treatment

People with iron deficiency may develop pruritus, which is the medical term for itchy skin

Antineoplastics that are antimetabolites for the vitamin may induce inadequate utilization of vitamin B12

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