Symptoms of deficiency include fatigue, weakness, neurological problems (such as paraesthesia, balance difficulties, and cognitive impairment), and megaloblastic anaemia
The combination of multiple medications affecting gastrointestinal motility should be carefully evaluated, and patients should be monitored for both efficacy and tolerability
They might also order a routine blood test like a complete blood count and additional blood tests
However, youll need to attach a new needle for each injection to ensure safety and proper use
Moreover, 64.3 % of vitamin B 12 deficiency patients (9 of 14 patients) with oral signs and symptoms were non-anemic and normocytic, suggesting the importance of more detailed blood screening in this patient group [9]
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