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People with symptoms of vitamin B12 deficiency It is a good idea for anyone with the following signs and symptoms of a vitamin B12 deficiency or pernicious anemia to consult a doctor: People with gastrointestinal issues Conditions that affect the gastrointestinal tract may affect vitamin B12 release or absorption, including: pernicious anemia, which can lead to gastric atrophy, or damage to the stomach fish tapeworm infestation bowel or pancreatic cancer folic acid deficiency overgrowth of bacteria in the small intestine diabetes thyroid disease Crohns disease celiac disease chronic pancreatitis People who have undergone gastrointestinal surgery, including weight loss, may have fewer cells necessary to secrete stomach acid and intrinsic factor
Inadequate protein intake is particularly concerning, as it can contribute to muscle loss during weight reduction
Do not stop any prescription medications without the consent of the prescribing physician
however, unlike nicotinic acid, niacinamide does not usually cause the intense flushing reaction (redness/itching) of the skin
This pathway controls tendon fibroblast migration and survival, directly influencing the cellular repair process