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Clinical features such as fatigue, paraesthesia, glossitis, and cognitive changes support the diagnosis

This complex process means that conditions affecting the stomach or intestines can significantly impair B12 absorption, including pernicious anaemia, atrophic gastritis, previous gastric surgery, coeliac disease, Crohn's disease, and long-term use of certain medications (such as metformin, proton pump inhibitors, and H2 antagonists)

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RELATED The Bottom Line Your body needs vitamin B12 to create red blood cells and DNA, and to keep your brain and nervous system in top shape

Vitamin B12 is essential for healthy nerve function, red blood cell formation, and DNA synthesis

Our doctors monitor your progress, adjusting dosages and delivery methods as your body heals