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B12 Injections offer a direct route to revitalization

66 Importantly, investigation of pathologic cAUses of polycythemia, including obstructive sleep apnea, tobacco use, and myeloproliferative neoplasms, should be conducted

doi:10.1016/j.cpr.2018.03.002 Sanada K, Montero-Marin J, Barcelo-Soler A, et al
And it's quite difficult to distinguish between the symptoms of low folate and high folate (due to potential over supplementation )

[DOI] [PMC free article] [PubMed] [Google Scholar] 138.Patel S, Yang W, Kozusko K, Saudek V, Savage DB