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That suggests appetite suppression was not the main mechanism in those studies

Parenteral B12 use: Deficiency of B12 causes megaloblastic anemia and neurological symptoms (fatigue, tingling, memory problems)

High-dose oral B12 is not routinely used for pernicious anaemia management in NHS practice

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Within sensible limits, the basics help your body hold its levels: a diet that includes B12 sources if you are not vegan, limiting heavy alcohol use, and not smoking, since both affect how you absorb and store nutrients

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