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Also, the patients should be warned about the danger of taking folic acid in place of vitamin B12, because the former may prevent anemia but allow progression of subacute combined degeneration of the spinal cord

Jiang X, Liu X, Yu Q, Shen W, Mei X, Tian H, Wu C (2022) Functional resveratrol-biodegradable manganese doped silica nanoparticles for the spinal cord injury treatment

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If nausea becomes severe enough to interfere with eating adequate protein or forces you to skip doses, discuss dose reduction or slower escalation with your provider