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Worsening macrocytic anemia : B 12 deficiency may also cause a macrocytic (megaloblastic) anemia BUT, in the presence of folate supplementation, this anemia may be masked so that B 12 deficiency may present with exclusively neurologic features

It Might Be a Vitamin B12 Deficiency Overview of vitamin b12 deficiency anaemia : Vitamin B12 or B9 (commonly called folate) deficiency anaemia occurs when a lack of vitamin B12 or folate causes the body to produce abnormally large red blood cells that cannot function properly

Certain medications deplete folate levels

Increased heart rate

Post-workout use may improve muscle recovery