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These include diet, malabsorption, and some medical conditions
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It is important not to self-treat with high-dose B12 supplements before seeing your GP if you suspect deficiency, as this can interfere with diagnostic blood tests and potentially mask underlying conditions such as pernicious anaemia
Key symptoms include persistent fatigue, paraesthesia (pins and needles) in hands or feet, numbness, difficulty walking or balance problems, memory difficulties, mood changes, and pallor
In clinical studies, its potential benefits for cartilage repair and metabolic syndrome have also been explored
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