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However, you are at increased risk of vitamin B12 deficiency if any of the following applies: You're age 50 or older

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In all cases where changes in treatment or management or both were introduced the patients received both written and verbal explanations from the practice doctors or nurses or both

This disease is called "pernicious anemia." Helps protect nerve endings: You may feel tingling, pain, numbness, or swelling in your extremities as a result of nerve inflammation