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Pernicious anemia, which occurs in 10% of patients with hypothyroidism caused by chronic autoimmune thyroiditis, often presents alongside other autoimmune disorders such as vitiligo [1]

doi:10.1016/j.ajhg.2016.03.005

Inflammatory Response By invigorating the immune system, B12 might lead to a temporary spike in inflammation, which is essentially a marker that healing mechanisms are in play

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