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It is classified as primary (polycythemia vera, D45), secondary (reactive elevation from hypoxia, EPO excess, or other causes

This service is not suitable for patients who are pregnant or breastfeeding without prior written consent from their GP.

doi:10.1080/21645515.2017.1415684 Ho K, Melanson M, Desai JA

Without adequate B12, youre also more likely to experience symptoms like chronic pain, depression, and fatigue, each of which makes it harder to get the physical activity you need to drop extra pounds and keep weight gain at bay