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Regular screening, especially for high-risk individuals Following a consistent treatment plan Maintaining a balanced diet that includes B12-rich foods such as meat, fish, dairy, and fortified products Long-term follow-up to prevent recurrence A complete nutrition plan should also include sufficient protein, key minerals, and other essential nutrients to support overall health

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Self-diagnosis and high-dose supplementation without guidance may cause imbalance

Acknowledgements Authorship All named authors meet the International Committee of Medical Journal Editors (ICMJE) criteria for authorship for this article, take responsibility for the integrity of the work as a whole, and have given their approval for this version to be published