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If your blood test has already confirmed low B12, we can start treatment right away
Brain and nerve injury are other possible outcomes

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Taking omeprazole, lansoprazole or other stomach acid-reducing drugs might decrease your bodys ability to absorb vitamin B12
Severe or prolonged B12 deficiency can lead to a range of neurological manifestations, including peripheral neuropathy, which may present as pain, paraesthesia (pins and needles), or altered sensation in the extremities