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Malabsorption from coeliac disease, Crohns, gastric surgery or long-term metformin and proton-pump inhibitors accounts for much of the rest

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Signs Your B12 Levels May Need Monitoring Key warning signs include tingling or numbness in the extremities, persistent fatigue, breathlessness, glossitis, and mood changes

Vitamin B12 deficiency can manifest through a range of symptoms, such as: For further information about the symptoms of a Vitamin B12 deficiency, please refer to the NHS website here

Bruiser has heart disease and GI issues and thats just the two of the organ systems failing him