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While B12 can be obtained through diet, many people are deficient due to factors like poor diet, digestive issues, or lifestyle factors like age or vegetarian/vegan diets

191 Once-daily administration of roflumilast significantly improves forced expiratory volume in 1 s and decreases exacerbations, particularly in patients with severe disease, 192,193 but has side effects such as nausea, vomiting and headache

As vitamin B12 has such an essential role in supporting healthy red blood cells, including more of it into your diet may help reduce your risk

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