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avoidance recommended as a precaution Active malignancy: Pro-angiogenic mechanism warrants caution until more data is available History of hormone-sensitive cancers: Discuss thoroughly with your physician Severe coagulation disorders: Given vascular effects, clinical assessment required Patients on certain anticoagulants: Monitoring required

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If you have questions or concerns about this warning, talk with your doctor

While research is still ongoing, some evidence points to a connection between vitamin B12 deficiency and dementia