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Some common signs include persistent fatigue or weakness, trouble with balance, and that annoying pins and needles feeling in your hands or feet

doi: 10.1016/S0140-6736(00)02755-0 132 Berlanga-AcostaJAbreu-CruzABarco HerreraDMendoza-MarYRodrguez-UlloaAGarca-OjalvoAet al

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Common causes include: Pernicious anemia, an autoimmune disorder hindering Vitamin B12 absorption Gastrointestinal surgeries, like gastrectomy, impact Vitamin B12 uptake Long-term use of certain medications, such as metformin or proton pump inhibitors Diets lacking in Vitamin B12, often seen in vegans and vegetarians For those without a deficiency, Vitamin B12 injections are not typically recommended, as their body can naturally regulate and excrete excess amounts of the vitamin