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Lack of thiamine (Vitamin B1) can cause any of the following: anorexia, anemia, tremors, odd gait, diarrhea, infertility, blindness, full-body weakness, dermatitis, goat polio causing severe neurological problems, and low immune system

However, PA specifically refers to the clinical manifestation associated with IF deficiency and subsequent B 12 malabsorption

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When prescribing medications for a breastfeeding patient, those with the lowest risk to the infant should be selected, and dosing should be before the infants longest sleep interval