Monday - #LearningMonday. I got it right – answer three.
“Tina has not consumed her vitamin
B12 reserves built up by injections over the years.
Large quantities of
cobalamin are retained in the liver after absorption, as a result, any decline
in the intake of cobalamin may take five to ten years to show clinically.
Even if intake would
stop altogether, normal liver supplies account for approximately two years of
normal cobalamin consumption.
Although sporadic
reports of spontaneous remission of pernicious anemia are present in the
literature, such events are very rare.
Reference:
Jajoo SS et al.
Etiology, Clinical Manifestations, Diagnosis, and Treatment of Cobalamin
(Vitamin B12) Deficiency. Cureus. 2024 Jan 12;16(1):e52153.”
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