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These factors are reflected in the joint ADAEASD guidelines, which place a focus on putting the patient at the center of the treatment paradigm and consider that shared decision-making between patient and provider is essential to create an effective management plan [68]

Any disruption along this pathway can lead to deficiency regardless of dietary intake, which is why some patients need supplementation even when they eat B12-rich foods

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As mentioned above, topical vitamin E can reduce UV-induced skin swelling, skin thickness, erythema, and edema all signs of skin inflammation