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Supplements that may increase warfarin's blood-thinning effect by inhibiting its breakdown include: Bee pollen Berberine/goldenseal Black pepper extract (piperine or Bioperine) a bioavailability enhancer in some curcumin and CoQ10 formulas CBD (cannabidiol) Grapefruit juice Kava Kratom Milk thistle Quercetin Supplements that may increase warfarin's blood-thinning effect due to their own blood-thinning effect include: Ashwagandha Chamomile Chondroitin Cinnamon (high-dose) Cranberry Curcumin Digestive enzymes (i.e

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Pernicious Anemia: Parenteral vitamin B12 is the recommended treatment and will be required for the remainder of the patient's life

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