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Avoid alcohol and anti-inflammatory medications (aspirin, ibuprofen) to reduce the risk of bruising only if safe for you to stop

You may also have an increased risk for vitamin B-12 deficiency if you: recently had weight loss surgery, because the operation interferes with your bodys ability to extract B-12 from food have been diagnosed with Crohns or celiac disease, conditions that can affect the way your body absorbs nutrients are over the age of 50, because the stomach beings to produce less acid as you age, and this acid helps with B-12 absorption take prescribed heartburn drugs, which reduce acid production in your stomach and may affect B-12 absorption If you suspect you have a vitamin deficiency, make an appointment with your doctor

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You should also avoid excessive heat, sun exposure, and exercise for the first 24-48 hours post-treatment

184 A UK community practice study reported that only 36% of patients using metformin had their vitamin B12 levels checked and had this assessment added to the yearly recall, despite the test being relatively inexpensive and adding little extra burden on patient or appointment availability

Skin also presents with changes such as dry and cracking, as those nerves that control sweating become affected