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(2.1,5.2) (5) Masking of Folate Deficiency with Vitamin B12 Use: Doses of vitamin B12 exceeding 10 mcg daily may produce hematologic response in patients with folate deficient megaloblastic anemia and may therefore mask a previously unrecognized folate deficiency

Joshua Starbuck , MDchief medical officer, Makena Health (Maui), a concierge longevity clinic (Im using quotes because the phrase itself is hyperbole) that markets peptides

It is more common in women, who make up nearly 80% of cases, with most diagnoses occurring around age 40

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Other oral symptoms, like mouth ulcers, are also sometimes seen