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Cobalamin deficiency can lead to neurological manifestations such as progressive axonal demyelination, impaired peripheral and sensory nerve function, areflexia, loss of proprioception and vibration sensitivity, and subacute combined spinal cord degeneration (, )

A required screening is completed before your first treatment begins

Other possible causes of hematochezia include: Hemorrhoids : internal or external Inflammation of the colon : possibly due to inflammatory bowel disease (IBD) Infection : due to ulcerative colitis or some other condition Vascular lesions : also known as angiodysplasia The most common causes of melena are stomach ulcers and inflammation of the esophagus or stomach

Protect your skin: Use SPF daily to prevent new pigment triggers