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2017 105(5):1122-1131 Strand etal, The effect of vitamin B12 supplementation in Nepalese infants...Trials, 2017: 187 Thomas S, Thomas T, Bosch RJ, Ramthal A, Bellinger DC, Kurpad AV, Duggan CP, Srinivasan K

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Causes and Symptoms of B12 Deficiency Deficiency can arise from: Poor dietary intake Malabsorption issues (e.g., pernicious anemia, atrophic gastritis) Gastrointestinal surgeries or disorders (e.g., Crohns disease) Certain medications affecting stomach acid or absorption Symptoms of deficiency include fatigue, weakness, numbness or tingling in hands and feet, memory difficulties, mood changes, and in severe cases, neurological damage

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Diet : those who follow vegetarian or vegan diets are more at risk due to limited B12 sources Pernicious anaemia : an autoimmune condition impacting stomach function Medication impact : certain medications (e.g., Metformin, Nitrous Oxide) Digestive conditions : disorders like Crohns Disease may affect B12 absorption Symptoms of a low Vitamin B12: Rapid breathing or shortness of breath Headaches Indigestion Loss of appetite Palpitations Problems with your vision Numbness Feeling weak or tired Diarrhea A sore or red tongue (sometimes with mouth ulcers) Problems with memory, understanding, and judgments (cognitive changes) Muscle weakness Depression Anxiety Confusion Dementia Problems with balance/coordination Pins and needles Incontinence If you suspect a Vitamin B12 deficiency, its essential to consult your GP for proper testing and treatment

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