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A simple blood test to measure your vitamin B12 level is recommended

Symptoms of lupus nephritis include: High blood pressure Swelling of the hands, ankles, feet, legs, or face Changes in urination (blood or foam in urine, increased nighttime urination frequency, pain or trouble urinating) High levels of creatinine in the blood Blood Disorders Lupus can cause problems with the blood, too, including anemia, or low red blood cell count

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And hopefully, we've tackled the underlying disease in that time and so normal resumption of absorption can then be maintained without the need for ongoing supplementation