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When the virus that gave you chickenpox as a child (varicella zoster) reawakens in adulthood, it scoots along a nerve where its been lurking and triggers a rash in the area of skin fed by that nerve, causing an infection known as shingles

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Many opt to take supplemental B12 alongside a folate supplement to avoid this risk (23, 24)

You can try supplements, but research shows that a substantial portion of supplement tablets pass through the digestive system

The decision to take this prescription should not be taken lightly

They may arrange blood tests to evaluate: Inflammatory markers (ESR, CRP) to detect active inflammation Rheumatoid factor and anti-CCP antibodies if inflammatory arthritis is suspected Full blood count to assess haematological response to B12 treatment Thyroid function tests , as thyroid disorders commonly coexist with B12 deficiency Note that serum B12 levels are not typically measured to assess treatment adequacy once replacement therapy has begun, as they may not reliably reflect tissue stores