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Severe or prolonged B12 deficiency can lead to a range of neurological manifestations, including peripheral neuropathy, which may present as pain, paraesthesia (pins and needles), or altered sensation in the extremities
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A patient with B12 deficiency following Roux-en-Y gastric bypass receives D51.8 because the small intestine cannot properly absorb B12 despite adequate intrinsic factor production
Cell Metabolism 15(6):838-847. [doi.org]
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