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Individuals With Malabsorption Conditions Certain medical conditions and medications can interfere with B12 absorption, including: Pernicious anemia (an autoimmune condition that impairs intrinsic factor production necessary for B12 absorption)[12]

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Cardiovascular Risks Steroids are strongly associated with: Increased LDL (bad cholesterol) Decreased HDL (good cholesterol) Elevated blood pressure Higher risk of heart attack and stroke Studies confirm long-term AAS users face a significantly higher risk of cardiomyopathy and sudden cardiac death (Thompson et al., 2020, Current Atherosclerosis Reports )

The study population was followed up for a duration of 36 weeks with a primary outcome of development of CIPN with a secondary outcome in this study being the Brief Pain Inventory score