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The only reliable way to determine whether you have a vitamin B12 deficiency is through blood testing ordered by a qualified healthcare provider

Damage to the tubular endothelial cells can increase leukocyte adhesion, platelet aggregation, and vasoconstriction, reduce blood flow to nephrons, and damage the glomerular barrier and the extensive network of peritubular capillaries (88)

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[7] Niacin can cause vasodilation, so it should be avoided in those with serious hypotension

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