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The high prevalence of vitamin B12 deficiency in thalassemia patients highlights the need for regular monitoring and supplementation, a study in a medical journal states

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For example, sugar alcohols like sorbitol or mannitol (used in some chewable or effervescent preparations) can have osmotic effects, drawing water into the intestinal lumen and potentially leading to loose stools in sensitive individuals

In patients with suspected B12 deficiency, initial lab tests should include a complete blood count (CBC) with a peripheral smear and serum B12 and folate levels

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There are various vitamins of group B which are effective in lowering blood sugar levels