Any medical condition that affects your large or small intestines can have an effect on how your body absorbs vitamin B12 and how much of it youll need to have to replenish it
Sasha Santhakumar, What is the link between vitamin B12 and Crohn's disease
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Fat-soluble vitamins (A, D, E, K) are more stable and can last around two to three years under optimal conditions
When to See Your GP About Nerve Pain and B12 Levels You should arrange to see your GP if you experience: Persistent tingling, numbness, or burning sensations in your hands or feet Unexplained weakness or difficulty walking Balance problems or frequent falls Memory problems or cognitive changes Persistent fatigue accompanied by neurological symptoms Symptoms of nerve pain if you have risk factors for B12 deficiency Recent recreational nitrous oxide use with neurological symptoms Your GP will typically begin with a thorough clinical history and examination, followed by blood tests to measure serum B12 levels
"You should never purchase something you inject in your body without the supervision of a healthcare provider," says LaValle