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Patients following such a diet, should be advised to take oral vitamin B12 regularly

It will enhance the safety, comfort, and effectiveness of treatment

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Now, let us talk about potential risks and side effects

Symptoms of severe vitamin B12 deficiency can include visual disturbances, severe joint pain, paresthesia (tingling in the hands and feet), memory problems, depression, anxiety, poor muscle function, ataxia (impaired balance and coordination), changes in reflexes and even infertility

You take certain medications: Long-term use of proton pump inhibitors (for acid reflux) or metformin (for diabetes) can interfere with B12 absorption