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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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These adverse effects are well-recognised class-specific reactions that may restrict tolerance and adherence in clinical practice

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