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A lack of vitamin B12 leads to anaemia, low energy, stomach problems (constipation, loss of appetite, weight loss), poor memory and nerve damage

If symptoms worsen or new ones appear, re-evaluate (e.g., neurological exam, additional testing)

Importantly, if you have unexpectedly high B12 levels without taking supplements or receiving injections, this warrants GP review as it may indicate underlying liver disease, kidney disease, or certain blood disorders

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