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It might seem counterintuitiveafter all, digestive problems can cause B12 deficiencybut it works both ways
Neuropsychiatric symptoms such as depression, irritability, and personality changes may also occur
Before administering a B12 injection, I always make sure to get a full picture of my patients health background
Most patients who experience significant relief will notice it almost immediately
This case was interesting because extreme hypercobalaminemia was induced by oral intake after total gastrectomy and persisted in a healthy individual after gastrectomy
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