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Are you supplementing with B12? If so how much and what type. If you are not, then you may have an issue with converting B12 to an usable form and would need to supplement with a bio-active form. This problem may extend to folate also. If you are supplementing, you would need to stop at least 3 days before a blood test to get an accurate assessment.
When you have a conversion problem, the blood serum level are usually higher because it's not able to be utilized.
If your cells have not been getting adequate B12/folate, then your immune system is not functioning up to par and infections don't get resolved. And then, once they start getting B12, you could see a flare up the infection(s) as your body corrects and goes after the infection.
Zinc is another nutrient to look into. A deficiency in this contribute to skin eruptions/acne.
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Marlene, wife to John DX w/SAA April 2002, Stable partial remission; Treated with High Dose Cytoxan, Johns Hopkins, June 2002. Final phlebotomy 11/2016. As of July 2021 HGB 12.0, WBC 4.70/ANC 3.85, Plts 110K.
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