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Vitamin B12 (as Methylcobalamin): Known for its crucial role in supporting red blood cell production and energy metabolism, Vitamin B12 is included in its methylcobalamin form, a bioactive variant that is readily utilized by the body

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The patient self-administered various medications, including spiramycin tablets, Sanjie tablets, amoxicillin capsules, and Xiaoyao pills, to treat the symptoms, but with no relief, and in contrast the area of redness and local pain increased

Further evaluation indicated vitamin B12 deficiency and subsequently, pernicious anemia, as confirmed by low serum vitamin B12 levels and positive intrinsic cell antibody respectively