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👄 Recurrent Canker Sore Nutritional Deficiency Simulator

This simulator models the relationship between recurrent aphthous stomatitis and deficiencies in vitamin B12, iron, and folic acid, as well as how correcting these deficiencies affects the frequency of flare-ups.

Cold Sores & Canker Sores2DModerate60 FPS
canker-sore-nutritional-deficiency-simulator ↗ Open standalone

Vitamin B12 Deficiency and Recurrent Aphthous Stomatitis

Low serum B12 is repeatedly associated with recurrent mouth ulcers.

  • ~28%: B12 deficiency in RAS (placeholder cohort estimate)
  • 200–900: Normal B12 range (pg/mL placeholder)
  • Weeks: Response to correction (placeholder timeframe)
  • Diet/absorption: Common source (placeholder cause)

B12 and mucosal healing

Placeholder: B12 supports epithelial turnover and ulcer healing.

Placeholder insight: B12 repletion may reduce outbreak frequency.

Iron Deficiency and Aphthous Ulcer Recurrence

Low ferritin is another commonly cited deficiency in recurrent cases.

  • ~20%: Iron deficiency in RAS (placeholder cohort estimate)
  • 20–250: Normal ferritin (ng/mL placeholder)
  • Common: Anemia overlap (placeholder comorbidity)
  • Months: Correction window (placeholder timeframe)

Iron and mucosal integrity

Placeholder: iron supports mucosal barrier and immune function.

Placeholder insight: ferritin repletion may reduce recurrence rate.

Folate Deficiency and Recurrent Canker Sores

Folate deficiency is also linked to aphthous ulcer recurrence.

  • ~15%: Folate deficiency in RAS (placeholder cohort estimate)
  • >3: Normal folate (ng/mL placeholder)
  • Leafy greens: Diet association (placeholder source)
  • Frequent: Combined deficiency (placeholder overlap note)

Folate and cell turnover

Placeholder: folate supports rapid epithelial cell replication.

Placeholder insight: folate correction may shorten flare duration.

Laboratory Workup for Suspected Nutritional Deficiency

CBC, B12, ferritin and folate panels identify correctable causes.

  • 4 tests: Panel components (placeholder list)
  • 1–3 days: Turnaround time (placeholder estimate)
  • Recurrent flares: Referral trigger (placeholder criterion)
  • Low: Cost tier (placeholder estimate)

When to order the panel

Placeholder: order labs for frequent or severe recurrent ulcers.

Placeholder insight: early workup guides targeted supplementation.

Supplementation and Reduction in Ulcer Recurrence

Correcting deficiency over weeks tends to lower flare frequency.

  • 2–4 wks: Response onset (placeholder estimate)
  • Up to 60%: Frequency reduction (placeholder estimate)
  • 8–12 wks: Full response (placeholder estimate)
  • Possible: Relapse if stopped (placeholder note)

Tracking response over time

Placeholder: frequency typically declines as nutrient levels normalize.

Placeholder insight: sustained supplementation supports lasting remission.
⚙ Under the hood

This simulator models the relationship between recurrent aphthous stomatitis and deficiencies in vitamin B12, iron, and folic acid, as well as how correcting these deficiencies affects the frequency of flare-ups.

CanvasBiomedicine

2D · HTML5 Canvas 2D · 60 FPS target · runs fully client-side, no install

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