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These clots may be indicative of underlying health issues like an inflammatory response, oxidative stress, or even blood coagulation disorders, including conditions such as thrombophilia or hypercoagulability

Factors such as temperature, pH, oxygen exposure, and light can accelerate these reactions

doi: 10.1210/me.2014-1038

These patients are often recommended to receive 1 mg of oral vitamin B12 daily indefinitely, but intramuscular injections may be necessary if oral supplementation is insufficient Mahawar2018Langan2017