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The absence of marketing authorisation also means that no approved UK product information defines a human dose, indication, contraindication, adverse-effect profile or monitoring programme

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Diet : those who follow vegetarian or vegan diets are more at risk due to limited B12 sources Pernicious anaemia : an autoimmune condition impacting stomach function Medication impact : certain medications (e.g., Metformin, Nitrous Oxide) Digestive conditions : disorders like Crohns Disease may affect B12 absorption Symptoms of a low Vitamin B12: Rapid breathing or shortness of breath Headaches Indigestion Loss of appetite Palpitations Problems with your vision Numbness Feeling weak or tired Diarrhea A sore or red tongue (sometimes with mouth ulcers) Problems with memory, understanding, and judgments (cognitive changes) Muscle weakness Depression Anxiety Confusion Dementia Problems with balance/coordination Pins and needles Incontinence If you suspect a Vitamin B12 deficiency, its essential to consult your GP for proper testing and treatment

Clinical Applications and Documentation of R20.0 Accurate diagnosis and documentation of skin anesthesia using the R20.0 code are key to effective patient care

Occasional scalp dryness or flaking could appear, especially when the solution is used alongside other desiccating products

(PubMed) Vogiatzoglou A, Refsum H, Johnston C, et al