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Prepare for your Qwo treatment by doing the following: Avoid Blood Thinners Avoiding blood thinners as much as you can (without violating your doctors orders) including: Fish Oil (Omega Fatty Acids), Vitamin E, Glucosamine, Chondroitn, Ginkgo Biloba, Green Tea, etc

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Some problems of the gut can also be a cause of vitamin B12 deficiency, but this is less uncommon, for example: surgery to remove parts of the bowel (the stomach or the end of the small intestine) Crohn's disease atrophic gastritis (where the lining of the stomach is thinned)

Not having enough B12 can lead to anaemia, which means your body does not have enough red blood cells to do the job