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Sikiric P, Separovic J, Anic T, et al

Tingling or numbness: Mild paresthesia in the extremities, related to fluid shifts and usually resolving within days

Gastrointestinal symptoms Tongue soreness, appetite loss, and constipation have also been associated with vitamin B 12 deficiency

Vitamin B6 Rich sources include meats, beans, avocados, nuts, and seeds

This typically involves: Intrinsic factor antibodies (highly specific for pernicious anaemia, though sensitivity is only 50%) [12] [28] Gastric parietal cell antibodies (more sensitive but less specific) Coeliac serology if malabsorption is suspected Consideration of upper gastrointestinal endoscopy in selected cases, particularly with autoimmune gastritis/pernicious anaemia NICE guidance emphasises that treatment should not be delayed whilst awaiting antibody results if clinical features strongly suggest deficiency, as irreversible neurological damage can occur

Pure Encapsulations B-Complex Plus B Vitamins Supplement to Support Neurological Health, Cardiovascular Health, Energy Levels & Nervous System Support* with Vitamin B12 & More 120 Capsules Original price was: $48.00.Current price is: $42.00