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This may be relevant for people with malabsorption disorders such as Crohn's disease or coeliac disease, though it's important to note that for pernicious anaemia, intramuscular hydroxocobalamin injections remain the first-line treatment in the UK, as recommended by NICE and the British Society for Haematology
I have gout, and there can be a flare-ups almost daily, especially during and after work
Early Signs and Symptoms of Vitamin B12 Deficiency: Fatigue, weakness, and lack of energy: These symptoms may be brought on by inadequate vitamin B12, which lowers the synthesis of red blood cells
Dietary intake: Vegetarians, vegans, and those who limit their daily consumption of animal products may have to consume more vitamin B12, as it is mainly present in foods of animal origin
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This can result in a slowed metabolic rate and increased fat storage
