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Summary: B12 deficiency may be caused by malabsorption, poor dietary intake and/or pernicious anemia

[20] [33] Oral hygiene practices can address metallic taste or altered oral sensations: Brush teeth and tongue regularly Use alcohol-free mouthwash Chew sugar-free gum or mints Rinse mouth with baking soda solution (1/4 teaspoon in 1 cup water) Taste changes often improve over weeks to months as the body adjusts to therapy, though individual experiences vary

Rather than supplementing everything blindly, ask your prescriber for bloodwork every 36 months to check vitamin D, B12, ferritin, and a metabolic panel

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