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A vitamin B12 deficiency can cause complications such as shortness of breath, depression, and neurological symptoms

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Initial Loading Phase for Deficiency Treatment In the initial phase, B12 injections are often given to quickly fill up the bodys stores

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Older adults might also struggle to absorb enough B12, especially if they have reduced stomach acid, which is needed for proper absorption

Certain medical conditions and medications increase B12 requirements: Long-term use of metformin (diabetes medication) or proton pump inhibitors (PPIs for acid reflux) can impair B12 absorption [13] [14] Gastrointestinal conditions such as Crohn's disease, coeliac disease, or previous gastric surgery Autoimmune conditions beyond pernicious anaemia may affect B12 metabolism When to contact your GP : If you are taking B12 supplements or receiving injections but continue to experience symptoms, request a review