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Symptoms Of Vitamin B12 Deficiency If you arent sure if you are deficient in vitamin B12 or not, make sure that you check the list down below: Lightheadedness or dizziness Discomfort and chest pain Difficulty in thinking clearly and concentrating Rapid breathing or shortness of breath Fatigue Pale Skin If left untreated, vitamin B12 deficiency may cause long-term health problems

The MHRA advises checking B12 levels in patients taking metformin who develop symptoms of deficiency or have risk factors, with periodic monitoring in at-risk patients

Aging can also affect absorption because the body produces less intrinsic factor, a protein needed for uptake

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However, this is usually mild and will wear off relatively quickly