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Scientific References Vitamin B12 deficiency in over 16s: diagnosis and management

This impairment of DNA synthesis affects the rapidly dividing cells of the bone marrow earlier than other cells, resulting in the production of large, immature, hemoglobin-poor red blood cells (macrocytosis), as well as effects on white blood cells, including abnormal (hypersegmented) neutrophils and reduced overall cell counts (pancytopenia)

In addition to topical steroids, there are also non-steroidal and injectable options that can significantly improve disease controlespecially in moderate to severe or longstanding cases, including childhood eczema, says Mona Gohara, M.D.,a board-certified dermatologist in Connecticut and an associate clinical professor of dermatology at Yale School of Medicine

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