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Vitamin B12 Deficiency Causes of vitamin B12 deficiency include difficulty absorbing vitamin B12 from food, lack of intrinsic factor (e.g., because of pernicious anemia), surgery in the gastrointestinal tract, prolonged use of certain medications (e.g., metformin or proton pump inhibitors), and dietary deficiency

Furthermore, the CAT total and cough scores were significantly lower after 12 weeks of treatment compared to the baseline (Table 2)

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Rahav et al., 2006

When pain persists, the brain and spinal cord can become sensitized, amplifying signals even after the original injury has healed

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