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When identified and treated early, the hip need not be lost
Mood changes such as irritability, depression, or anxiety, as well as numbness or tingling in the hands and feet, can also be linked to low B12 levels
1 Asymptomatic autoimmune gastritis likely precedes gastric atrophy by 10 to 20 years, followed by the onset of iron-deficiency anemia that occurs as early as 20 years before vitamin B 12 deficiency pernicious anemia
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