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People with low B12 may experience: Persistent fatigue or low energy Weakness Brain fog, concentration issues, or memory changes Low mood or irritability Pins and needles, numbness, or nerve-type sensations Mouth ulcers or a sore tongue Paleness or shortness of breath (if anaemia is present) Some symptoms can become more serious if deficiency is prolonged, particularly neurological symptoms

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Q3: What documentation is needed to support D64.9

Neurol Sci 46:56075619

Spinal stenosis can also cause problems with control of the bladder and bowels

Calori GM, Colombo M, Mazza EL, Mazzola S, Malagoli E, Mineo GV