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If you are taking metformin, colchicine, or proton pump inhibitors long-term, discuss B12 monitoring with your GP, as these medications can affect B12 status over time

[DOI] [PubMed] [Google Scholar] 44.Kraus D, Yang Q, Kong D, Banks AS, Zhang L, Rodgers JT, et al

Symptoms of vitamin B12 deficiency include (1): chronic fatigue shortness of breath heart palpitations tingling or numbness in the extremities poor balance loss of concentration poor memory disorientation mood changes incontinence insomnia People most at risk of developing a deficiency include older adults, as well as those who smoke, abuse alcohol, or follow a vegetarian or vegan diet

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[DOI] [PMC free article] [PubMed] [Google Scholar] 153.Conforti L, Gilley J & Coleman MP Wallerian degeneration: an emerging axon death pathway linking injury and disease