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According to this research, there is no evidence that having a tooth extraction and smoking is linked to blood clots (arterial occlusion)

If smoking has become a habit for her and she needs support to overcome it, you could explore with her the various options and programmes that could help her quit

The main causes of a vitamin B12 deficiency are as follows: Malabsorption due to poor intestinal health (inflammation, bacteria, fungal infection, parasites, disturbed intestinal flora) due to a lack of transport molecules (intrinsic factor), genetic diseases (cobalamin disease) or medications that hinder uptake

Quitting smoking is a process that takes time