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Who Is Most at Risk of Vitamin B12 Deficiency

Neurological symptoms often develop gradually and may include: Paraesthesia : tingling or 'pins and needles' sensations, typically starting in the feet and hands Numbness : reduced sensation in the extremities, which may affect balance and coordination Burning pain : particularly in the feet, often worse at night Weakness : muscle weakness and difficulty walking Balance problems : unsteady gait and increased fall risk due to proprioceptive impairment Cognitive changes : memory problems, confusion, difficulty concentrating, and mood disturbances Haematological signs may accompany neurological symptoms and include fatigue, weakness, pallor, and shortness of breath due to megaloblastic anaemia

Yes, switching forms is a valid strategy when symptoms remain despite normal labs

Exon-intron organization and chromosomal localization of the mouse monoglyceride lipase gene

Stomach acid needs to disintegrate pills first before they can dissolve and the vitamin B12 be absorbed