We examined the effects of folic acid supplementation on blood clot events in patients with end-stage kidney disease (ESKD). Analyzing data from over 2,000 patients, we divided them into daily and weekly supplementation groups for a mean follow-up of 5.8 years.
Our findings indicated that patients receiving daily folic acid had a lower rate of arteriovenous access thrombosis compared to those on a weekly regimen. However, we found no significant differences between the groups concerning major cardiovascular events or overall mortality.
More research is needed to fully understand the potential of folate in preventing thrombosis in this population.
We investigated how folic acid (FA) affects blood clotting in response to carbon black exposure. Adult mice were exposed to filtered air or carbon black for 28 days. We found that carbon black increased blood clotting and spurred the development of a certain type of blood cells in the spleen. Interestingly, while carbon black lowered folic acid levels, administering FA helped restore normal coagulation by inhibiting certain enzymes in spleen macrophages. This suggests that folic acid could be beneficial in protecting against increased clotting risks related to carbon black exposure.
Read More
8
Nitrous oxide use leads to health risks
A 19-Year-Old Man with a History of Recreational Inhalation of Nitrous Oxide with Severe Peripheral Neuropathy and Central Pulmonary Embolism.
In this case, we observed a 19-year-old man who developed severe peripheral neuropathy and central pulmonary embolism after using nitrous oxide recreationally. Elevated levels of homocysteine and methylmalonic acid indicated vitamin B₁₂ inactivation due to the substance. After discontinuing nitrous oxide and undergoing treatment with B vitamins for six months, the patient showed remarkable recovery, with symptoms significantly reduced. This highlights that even low levels of nitrous oxide use can lead to serious health issues, including increased blood clot risks. Awareness is crucial for young individuals who may use this substance.
Read More
Most Useful Reviews
9
Reduced blood clot
59 people found this helpful
I switched to this more affordable complex to lower my homocysteine, which is harmful to blood vessels and can cause blood clots. After taking it, my levels went down from 9.3 to 5.5. I'll continue using it, particularly since it’s essential for girls planning pregnancy.
Read More
9
Normalised blood clot
26 people found this helpful
My husband, who has type 2 diabetes, experienced a drop in vitamins while on medication. He takes this supplement and his blood counts have normalised, along with lower homocysteine levels. It’s effective and necessary for diabetes and blood clots. I highly recommend it!
Read More
9
Blood clot decreased
2 people found this helpful
I began taking this supplement to lower my homocysteine, which was previously high. After two months, my levels dropped significantly, indicating its effectiveness. I’m continuing with a lower dosage and am pleased with the results concerning blood clots.
We explored the effects of high serum homocysteine levels on blood clot risks within a group of 1,014 patients who experienced thrombotic events. This group underwent a thorough evaluation for various thrombophilic conditions. Notably, we found that 12% of these patients had treatable high homocysteine levels.
Among those with high homocysteine, we examined a treatment regimen that included vitamin B6, alongside L-methyl folate and vitamin B12. After approximately 18 months of this combined treatment, we observed significant reductions in homocysteine levels, with many patients reaching normal levels.
Importantly, when high homocysteine was the only identified thrombophilia, those who achieved normalization of their homocysteine levels reported a remarkable decrease in new thrombotic events. Thus, while vitamin B6 plays a role in lowering homocysteine, its specific isolated impact on blood clotting remains unclear as part of the combined therapy.
Overall, our findings highlight the relevance of managing high homocysteine through vitamin treatment to potentially lower the risk of blood clots, especially in individuals with no other identified thrombophilia.
Read More
9
Homocystinuria treatment with B6
Cerebral venous thrombosis as the first presentation of classical homocystinuria in an adult patient.
We explored the intriguing case of a 30-year-old woman who experienced severe headaches and neurological symptoms, later linked to blood clotting issues. Initially diagnosed with suspected viral encephalopathy, she faced multiple health challenges including a pulmonary embolism and persistent migraines.
After undergoing various investigations, her doctors discovered she had a dangerously high homocysteine level of over 350 μmol/L, indicating a metabolic disorder known as homocystinuria due to cystathionine β-synthase deficiency. This condition is typically identified in childhood, making her case particularly unusual.
To tackle her elevated homocysteine, a treatment plan involving vitamin B6 (pyridoxine) and betaine was implemented. Remarkably, this approach successfully normalized her homocysteine levels, and she has since avoided any further thrombotic events. Though vitamin B6 is a key player in her treatment, it was administered alongside betaine, which complicates isolating the effects of B6 on blood clot prevention alone.
Read More
9
Folate's role in thrombosis treatment
Cerebral venous thrombosis with hyperhomocysteinemia due to loss of heterozygosity at methylenetetrahydrofolate reductase (MTHFR) locus: a case report.
We observed a fascinating case involving a 14-year-old girl who experienced severe headaches and nausea, leading to the discovery of cerebral venous thrombosis (CVT) and significantly elevated plasma homocysteine levels. Through comprehensive genetic testing, we identified a rare genetic change called loss of heterozygosity (LOH) affecting the methylenetetrahydrofolate reductase (MTHFR) gene, which plays a crucial role in processing folate in the body.
In treating the patient, we included supplementary folate along with anticoagulants to manage the thrombosis. While we noted improvements in her symptoms and a decrease in thrombosis severity, it is essential to recognize that the isolated effect of folate on blood clotting cannot be fully established due to the concurrent use of anticoagulants and other vitamin supplements. Therefore, while folate forms part of the treatment, its direct impact on clot formation requires further investigation.
The combination of anticoagulants, nutritional supplements, and genetic insights showcases an integrated approach to managing complex medical issues, highlighting that while folate is beneficial, its role is part of a broader strategy.
Read More
9
Vitamin B-12 resolves clotting disorders
Life-Threatening Microangiopathy or Vitamin Deficiency: A Case Report of the Clinical Manifestations of Pseudo-Thrombotic Microangiopathic Anemia.
We encountered a compelling case that sheds light on the relationship between vitamin B-12 deficiency and a condition known as pseudo-thrombotic microangiopathic anemia. This condition often mimics more severe blood disorders requiring aggressive treatments. However, during this case, we observed that addressing the deficiency with vitamin B-12 injections led to a significant improvement.
Our patient, a 51-year-old man, originally presented with symptoms like weakness and difficulty breathing, which raised alarms for potential blood issues. Upon extensive examination, he was found to have severe microangiopathic anemia with initial concerns pointing towards serious conditions like thrombotic thrombocytopenic purpura (TTP). Thankfully, after treatment with vitamin B-12 to combat the deficiency caused by pernicious anemia, the patient saw a marked recovery in both his symptoms and blood parameters.
This case highlights the importance of recognizing vitamin deficiencies as a potential cause of blood disorders. It demonstrates that what may appear to be serious hematological issues can sometimes be addressed with simple vitamin supplementation, likely saving patients from unnecessary invasive treatments.
Read More
8
Vitamin B12 deficiency and thrombosis
Cerebral Venous Sinus Thrombosis Secondary to Vitamin B12 Deficiency - A Case Series with Emphasis on Food Fortification.
We examined the impact of vitamin B12 deficiency on cerebral venous sinus thrombosis (CVST) through a case series involving three patients. Each case presented symptoms like headaches and, in some instances, visual disturbances. All patients showed elevated homocysteine levels and had low vitamin B12. Treatment included anticoagulation therapy and vitamin supplementation, leading to positive responses and, in two cases, resolution of thrombosis. This suggests that monitoring vitamin B12 levels, particularly in vegetarian diets, is crucial and could help prevent CVST.
I switched to this more affordable complex to lower my homocysteine, which is harmful to blood vessels and can cause blood clots. After taking it, my levels went down from 9.3 to 5.5. I'll continue using it, particularly since it’s essential for girls planning pregnancy.
Read More
9
Normalised blood clot
26 people found this helpful
My husband, who has type 2 diabetes, experienced a drop in vitamins while on medication. He takes this supplement and his blood counts have normalised, along with lower homocysteine levels. It’s effective and necessary for diabetes and blood clots. I highly recommend it!
Read More
9
Blood clot decreased
2 people found this helpful
I began taking this supplement to lower my homocysteine, which was previously high. After two months, my levels dropped significantly, indicating its effectiveness. I’m continuing with a lower dosage and am pleased with the results concerning blood clots.
Read More
7.5
Improved blood clot
241 people found this helpful
Super! I take this supplement periodically to correct my anemia and low cholesterol. It's very effective; my tests showed a deficiency in B12 and B9, leading to lower haemoglobin. After taking this, my performance improved along with my lipid profile. I am confident this supplement significantly contributed to my results, which physical activity and diet couldn't achieve alone.
Read More
9
Blood clot improvement
84 people found this helpful
I take this for my son with ADHD. Recommended by our neurologist, it has improved his blood counts and lowered homocysteine. My son dissolves the tablets easily due to their pleasant taste. We are satisfied with this supplement.
A blood clot is a mass of blood that changes from a liquid to a gel, effectively forming a plug that can stop bleeding. This natural process, known as coagulation, is critical for preventing excessive blood loss when you sustain an injury. Blood clots can occur in various areas of the body, typically at the site of a wound, but they can also form within blood vessels without an obvious injury, which may lead to serious health complications.
While blood clots are essential for healing, they can pose significant health risks if they form inappropriately. For example, a deep vein thrombosis (DVT) occurs when a clot forms in a deep vein, usually in the legs, and can travel to the lungs, causing a life-threatening condition called a pulmonary embolism. Risk factors for blood clots include prolonged immobility, certain medical conditions, and the use of specific medications, among others. It’s important to recognize the symptoms of abnormal clotting, such as swelling, pain, and redness in the affected area, and seek medical attention if they occur.
Vitamin B Complex refers to a group of water-soluble vitamins that play important roles in cell metabolism and overall health. This group typically includes eight essential vitamins: B1 (thiamine), B2 (riboflavin), B3 (niacin), B5 (pantothenic acid), B6 (pyridoxine), B7 (biotin), B9 (folate), and B12 (cobalamin). Each of these vitamins contributes uniquely to various bodily functions, such as energy production, red blood cell formation, and nervous system function. For instance, B12 and folate are crucial in preventing anemia, while B6 is vital for brain development and function.
Many people can obtain their daily requirements of B vitamins through a balanced diet that includes whole grains, meats, eggs, nuts, leafy greens, and dairy products. However, certain groups—like vegetarians, pregnant women, and older adults—may benefit from supplementation to meet their nutritional needs. It's important to consult with a healthcare professional before starting any supplement regimen, as excessive intake of certain B vitamins can lead to adverse effects. Overall, ensuring adequate intake of Vitamin B Complex is vital for maintaining energy levels and supporting overall health.
Based on user reviews, the time frame for seeing results from this supplement for blood clot prevention can vary, but many users report noticeable improvements within a couple of months. For instance, one user mentioned that after taking the supplement for two months, their homocysteine levels dropped significantly, which indicated its effectiveness for blood clot prevention Read Review. Another user highlighted that after two months of use, their levels improved as well Read Review.
However, some users began to notice benefits even sooner. Reports indicate that many users experience positive changes in blood counts and other relevant metrics after just one month of consistent use Read Review. Overall, while individual results may vary based on health conditions and dosages, a general consensus suggests that noticeable effects can be expected within four to eight weeks of regular supplementation.
Yes, there is scientific research supporting the role of certain vitamins, particularly vitamin B12 and folic acid, in managing blood clot risks. For instance, studies have highlighted cases where vitamin B12 deficiency was linked to cerebral venous sinus thrombosis (CVST). In one analysis, patients with CVST showed elevated homocysteine levels associated with low vitamin B12, and upon administration of both anticoagulants and vitamin B12 supplements, two out of three patients had positive treatment responses, suggesting that maintaining adequate vitamin B12 levels might be essential for preventing such conditions [1]. Similarly, a case study documented improvements in a patient suffering from cerebral venous thrombosis who received vitamin B12 and iron supplementation, further underscoring the vitamins' potential role in mitigating blood clotting issues [2].
Folic acid supplementation has also been examined for its efficacy in reducing blood clotting risks, especially in specific populations like patients with end-stage kidney disease. Research indicated that those receiving daily folic acid displayed a lower event rate of thrombosis compared to those on a less frequent dosing schedule, suggesting that daily folate could be beneficial in managing clot risks [3]. However, it is crucial to note that while these studies point to potential benefits, they often involve multi-faceted treatment strategies that include other medications, making it difficult to isolate the specific impact of these vitamins on blood clot formation.
Users have reported various improvements in their symptoms after taking this supplement, particularly concerning homocysteine levels and overall blood health. For instance, one user noted a drop in their homocysteine levels from 9.3 to 5.5 after switching to this supplement, indicating its effectiveness in promoting vascular health and reducing blood clot risk Read Review. Another review highlighted a user whose husband, managing type 2 diabetes, experienced normalisation of blood counts and lower homocysteine levels, which underscores the supplement's role in managing blood health alongside diabetes Read Review.
In terms of broader benefits, many users have reported enhanced energy levels, improved sleep quality, and better mental clarity. One user noted substantial improvements in their blood values and overall physical health after a month and a half of use, contributing to a more comprehensive strategy for avoiding blood clots Read Review. While individual results may vary based on health conditions and adherence to dosage recommendations, there is a strong consensus among users that this supplement plays a crucial role in improving blood health metrics and overall well-being.
Based on user reviews, combining this supplement with other supplements has been reported to enhance its effectiveness for managing blood clot risks. One user specifically mentioned taking the supplement alongside an iron supplement, which led to improved results and significantly lowered their homocysteine levels, a crucial factor in preventing blood clots Read Review. Another user reported they took this vitamin B complex in conjunction with TMG (Trimethylglycine), which they found beneficial for lowering homocysteine as well, underscoring the importance of complementary supplements in a holistic approach to blood health Read Review.
Furthermore, users have recognized this supplement's role in managing blood parameters not only for their own health but also for loved ones, such as a user whose husband saw normalized blood counts after adding this supplement to his regimen Read Review. Overall, the consensus from the reviews suggests that combining this supplement with other supportive vitamins or minerals can lead to better outcomes in reducing homocysteine levels and, consequently, help mitigate the risks associated with blood clots.
Based on user reviews, many individuals reported positive outcomes when using Vitamin B Complex for managing blood clots, particularly through the reduction of homocysteine levels—a key factor in blood clot formation. One user noted a drop from a concerning 9.3 to 5.5 after switching to a more affordable B complex, highlighting its effectiveness in promoting vascular health Read Review. Another user emphasized the necessity of this supplement not only for lowering homocysteine levels but also for improving overall blood counts Read Review.
While specific dosages were not frequently mentioned, users indicated that a reduction in high homocysteine levels was achieved through continuous intake of the supplement, which they found beneficial for preventing blood clots and improving overall well-being. One user expressed satisfaction with continuing on a lower dosage that had successfully lowered their homocysteine levels over time Read Review, suggesting that personalized dosing based on individual health needs may be an effective approach. Overall, users advocate for the inclusion of Vitamin B Complex as a supportive measure in managing conditions related to blood clots.
9
Blood clot decreased
2 people found this helpful
I began taking this supplement to lower my homocysteine, which was previously high. After two months, my levels dropped significantly, indicating its effectiveness. I’m continuing with a lower dosage and am pleased with the results concerning blood clots.
9
Lowered homocysteine
1 people found this helpful
I found this vitamin B complex excellent for lowering homocysteine, which I took alongside TMG. B vitamins are crucial for cellular metabolism, supporting the immune system, and regulating blood sugar, thus preventing diabetes. They are also helpful for neurological and mental health issues like depression and apathy, and are recommended for anaemia. After two months of use, my homocysteine levels significantly improved.
7.5
Blood clot relief
20 people found this helpful
After struggling with anaemia for an extended time, I incorporated sublingual tablets into my routine. Over a month and a half, my blood values improved substantially, and I feel much better physically. This supplement has enhanced my sleep quality and mental clarity, crucial for avoiding blood clots.
9
Reduced blood clot
59 people found this helpful
I switched to this more affordable complex to lower my homocysteine, which is harmful to blood vessels and can cause blood clots. After taking it, my levels went down from 9.3 to 5.5. I'll continue using it, particularly since it’s essential for girls planning pregnancy.
9
Normalised blood clot
26 people found this helpful
My husband, who has type 2 diabetes, experienced a drop in vitamins while on medication. He takes this supplement and his blood counts have normalised, along with lower homocysteine levels. It’s effective and necessary for diabetes and blood clots. I highly recommend it!
7.5
Effective for blood clot
22 people found this helpful
After suffering from anaemia, I sought alternatives beyond expensive injections, finding this vitamin B complex. It effectively raised my iron levels and notably lowered my homocysteine, vital for preventing blood clots. This combined with my iron supplement gave me much better results.
8
Vitamin B12 deficiency and thrombosis
Cerebral Venous Sinus Thrombosis Secondary to Vitamin B12 Deficiency - A Case Series with Emphasis on Food Fortification.
We examined the impact of vitamin B12 deficiency on cerebral venous sinus thrombosis (CVST) through a case series involving three patients. Each case presented symptoms like headaches and, in some instances, visual disturbances. All patients showed elevated homocysteine levels and had low vitamin B12. Treatment included anticoagulation therapy and vitamin supplementation, leading to positive responses and, in two cases, resolution of thrombosis. This suggests that monitoring vitamin B12 levels, particularly in vegetarian diets, is crucial and could help prevent CVST.
8
Vitamin B12 aids in thromboembolism recovery
Cerebral venous thrombosis associated with hyperhomocysteinemia and iron-deficiency anemia induced by autoimmune gastritis: A case report and literature review.
We observed a rare case of cerebral venous thrombosis (CVT) associated with hyperhomocysteinemia and iron-deficiency anemia due to autoimmune gastritis.
The patient, a 47-year-old woman, experienced serious symptoms like impaired consciousness and motor difficulties. After thorough examinations like CT and MRI, she was treated with anticoagulants and given iron and vitamin B12 supplements.
Remarkably, the patient showed significant improvement and was discharged without neurological deficits, highlighting the potential role of vitamin B12 and iron in managing conditions linked to blood clots.
8
Folic acid reduces clot events
Supplementation with Folic Acid and Cardiovascular Outcomes in End-Stage Kidney Disease: A Multi-Institution Cohort Study.
We examined the effects of folic acid supplementation on blood clot events in patients with end-stage kidney disease (ESKD). Analyzing data from over 2,000 patients, we divided them into daily and weekly supplementation groups for a mean follow-up of 5.8 years.
Our findings indicated that patients receiving daily folic acid had a lower rate of arteriovenous access thrombosis compared to those on a weekly regimen. However, we found no significant differences between the groups concerning major cardiovascular events or overall mortality.
More research is needed to fully understand the potential of folate in preventing thrombosis in this population.
References
Baby N, George M, Rajasekharan A, Ajith S, Zabeer M, et al. Cerebral Venous Sinus Thrombosis Secondary to Vitamin B12 Deficiency - A Case Series with Emphasis on Food Fortification. Ann Afr Med. 2024;23:496. 10.4103/aam.aam_138_23
Mochizuki T, Ryu B, Kushi K, Shima S, Sato S, et al. Cerebral venous thrombosis associated with hyperhomocysteinemia and iron-deficiency anemia induced by autoimmune gastritis: A case report and literature review. Neuroradiol J. 2023;36:491. 10.1177/19714009221147224
Tu YR, Tu KH, Lee CC, Fan PC, Yen CL, et al. Supplementation with Folic Acid and Cardiovascular Outcomes in End-Stage Kidney Disease: A Multi-Institution Cohort Study. Nutrients. 2022;14. 10.3390/nu14194162
Meng Q, Li B, Huang N, Wei S, Ren Q, et al. Folic acid targets splenic extramedullary hemopoiesis to attenuate carbon black-induced coagulation-thrombosis potential. J Hazard Mater. 2022;424:127354. 10.1016/j.jhazmat.2021.127354
Pedersen OB, Hvas AM, Grove EL. A 19-Year-Old Man with a History of Recreational Inhalation of Nitrous Oxide with Severe Peripheral Neuropathy and Central Pulmonary Embolism. Am J Case Rep. 2021;22:e931936. 10.12659/AJCR.931936
Al Sulaiman K, Aljuhani O, Al Dossari M, Alshahrani A, Alharbi A, et al. Evaluation of thiamine as adjunctive therapy in COVID-19 critically ill patients: a two-center propensity score matched study. Crit Care. 2021;25:223. 10.1186/s13054-021-03648-9
Woods E, Dawson C, Senthil L, Geberhiwot T. Cerebral venous thrombosis as the first presentation of classical homocystinuria in an adult patient. BMJ Case Rep. 2017;2017. 10.1136/bcr-2016-217477
Kotwal J, Kotwal A, Bhalla S, Singh PK, Nair V. Effectiveness of homocysteine lowering vitamins in prevention of thrombotic tendency at high altitude area: A randomized field trial. Thromb Res. 2015;136:758. 10.1016/j.thromres.2015.08.001
Glueck CJ, Smith D, Gandhi N, Hemachandra K, Shah P, et al. Treatable high homocysteine alone or in concert with five other thrombophilias in 1014 patients with thrombotic events. Blood Coagul Fibrinolysis. 2015;26:736. 10.1097/MBC.0000000000000276
Awan Z, Aljenedil S, Rosenblatt DS, Cusson J, Gilfix BM, et al. Severe hyperhomocysteinemia due to cystathionine β-synthase deficiency, and Factor V Leiden mutation in a patient with recurrent venous thrombosis. Thromb J. 2014;12:30. 10.1186/s12959-014-0030-0
Liu F, Zhu L, Chen P, Shi Z, Liu S. [Two cases of pulmonary thromboembolism associated with protein C and protein S deficiency and literature review]. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2013;38:971. 10.3969/j.issn.1672-7347.2013.09.018
Mendiratta V, Prakash A, Jain A, Jain M. Isolated distal cutaneous thrombosis: an unusual presentation and an interesting etiology. Indian J Dermatol Venereol Leprol. 2011;77:494. 10.4103/0378-6323.82412
Dworakowska D, Kazimierska E, Weyer-Hepka J, Dworakowski R, Jakóbiewicz-Banecka J, et al. [Hyperhomocysteinemia complicated by myocardial infarction and portal vein thrombosis--case report]. Pol Arch Med Wewn. 2006;115:234.
Zhang M, Shi B, Zhao M. Cerebral venous thrombosis with hyperhomocysteinemia due to loss of heterozygosity at methylenetetrahydrofolate reductase (MTHFR) locus: a case report. BMC Neurol. 2023;23:154. 10.1186/s12883-023-03200-y
Cao Y, Yao T, Chen H, Liu H, Li C, et al. The association of serum folate and homocysteine on venous thromboembolism in patients with colorectal cancer: a cross-sectional study. Transl Cancer Res. 2023;12:125. 10.21037/tcr-22-2839
Lin SS, Fan IW, Chen CY, Su YJ. A nitrous oxide abuser presenting with cerebral venous thrombosis: A case report. Med Int (Lond). 2022;2:20. 10.3892/mi.2022.45
Sikora M, Skrzydlewski P, Perła-Kaján J, Jakubowski H. Homocysteine thiolactone contributes to the prognostic value of fibrin clot structure/function in coronary artery disease. PLoS One. 2022;17:e0275956. 10.1371/journal.pone.0275956
Hudson JL, Laura DM, Berrocal AM. CENTRAL RETINAL VEIN OCCLUSION IN 12-YEAR-OLD GIRL WITH METHYLENETETRAHYDROFOLATE REDUCTASE MUTATION: A CASE REPORT AND REVIEW OF THE LITERATURE. Retin Cases Brief Rep. 2023;17:734. 10.1097/ICB.0000000000001283
Chaloulis SK, Tsaousis KT. Cystoid Macular Edema Associated With Venous Stasis in a Patient With Previously Undiagnosed Hyperhomocysteinemia. Cureus. 2021;13:e20782. 10.7759/cureus.20782
Mohamed Yile MEH, Berteau E, Ramdani N, Mouyen T, Ferrier N. Uncommon Thromboembolic Events in Young Adults: A Rare Cause Uncovered. Cureus. 2025;17:e76962. 10.7759/cureus.76962
Haddad F, Boukhal Z, El Rhaoussi FZ, Tahiri M, Hliwa W, et al. Neurological and Cardiovascular Complications Revealing Biermer's Disease: A Case Report. Cureus. 2024;16:e58601. 10.7759/cureus.58601
Khaliq L, Kabir KF, Pyai K, Hadid T, Collins-Hamel B. A Simple Vitamin Deficiency With Life-Threatening Complications: A Case of B12 Deficiency and Hyperhomocysteinemia-Induced Thrombosis. Cureus. 2023;15:e42908. 10.7759/cureus.42908
Banjongjit A, Sutamnartpong P, Mahanupap P, Phanachet P, Thanakitcharu S. Nitrous Oxide-Induced Cerebral Venous Thrombosis: A Case Report, Potential Mechanisms, and Literature Review. Cureus. 2023;15:e41428. 10.7759/cureus.41428
Landry I, Chowdhury T, Hussein S, Thomas L. Life-Threatening Microangiopathy or Vitamin Deficiency: A Case Report of the Clinical Manifestations of Pseudo-Thrombotic Microangiopathic Anemia. Cureus. 2021;13:e20228. 10.7759/cureus.20228