According to the NHS, addressing these types of nerve problems often requires a more rigorous approach
[4] Solid tumours: Certain cancers, particularly hepatocellular carcinoma, pancreatic cancer, and metastatic disease, may elevate B12 through various mechanisms
Summary: B12 deficiency may be caused by malabsorption, poor dietary intake and/or pernicious anemia
Nutrition Focus on a balanced, whole-food diet that includes lean proteins, healthy fats, and complex carbohydrates
Physio helped but it never properly resolved
[124] Other causes of B 12 malabsorption include bariatric surgery, pancreatic insufficiency, obstructive jaundice, tropical sprue, celiac disease, inherited intrinsic factor deficiency, and radiation enteritis affecting the distal ileum