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Additionally, long-term illnesses like kidney disease and cancer, along with blood loss from ulcers or surgeries, can contribute to a decrease in red blood cells
"but I do find it weird that my B12 is nonexistent and yet my RBC, MCV, and MCH are normal." Low B12 can lead to enlarged red blood cells (macrocytosis)
Unlike oral supplements, Vitamin B12 Shots are fully absorbed delivering immediate benefits
This makes it an appealing option for patients seeking gentler support
Symptoms of iron deficiency anemia often ease sooner, within a week or month. Other research suggests that intermittent iron supplementation (as opposed to daily) may bring the same benefits with fewer side effects. Higher amounts are usually spread across two daily doses for better absorption. Iron absorbs best on an empty stomach, but taking it this way can create digestive upset
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