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a redundant one just hits the same step twice

[2] Physiological Bases for the Superiority of Apolipoprotein B Over LowDensity Lipoprotein Cholesterol and NonHighDensity Lipoprotein Cholesterol as a Marker of Cardiovascular Risk | Journal of the American Heart Association

Its caused by a lack of Vitamin B12

Oral vitamin B12 supplements have several advantages over injections: They are more cost-effective They are more convenient, as they do not require a visit to a healthcare facility or a home visit from a healthcare professional for administration The risk of an allergic reaction is typically lower with oral supplements than with injections