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Systemic lupus erythematosus (SLE) and rheumatoid arthritis have been noted in case reports

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This can be done by changing the diet, discontinuing medications (with your doctor's approval) that can impair B 12 absorption, moderating alcohol use, eliminating gluten from the diet (if you have celiac disease), receiving treatment for Crohn disease, adding oral supplements or having regular injections of vitamin B 12

Other warnings Intensive therapy for megaloblastic anemia may result in hypokalemia, thrombocytosis, and life-threatening complications

This feedback loopfibrosis enabling SIBO, and SIBO amplifying fibrosistypifies the fibro-inflammatory circuit that underlies gastrointestinal involvement in SSc