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Vegans and "patients with diseases like Crohn's and colitis as well as people with pernicious anemia are also particularly vulnerable to deficiency," added Silverstein
B12 injections are necessary for confirmed pernicious anaemia, malabsorption conditions (such as Crohn's disease or following gastric surgery), or when neurological symptoms are present
London: Pharmaceutical press
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15 Neurological symptoms present in vitamin B 12 deficiency include paresthesias, weakness, decreased reflexes, ataxia, vibratory sense loss, dementia, psychosis, and altered mood
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