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[14] [15] It's important to note that folic acid must not be used to treat anaemia without first excluding B12 deficiency, as it can mask the haematological signs while allowing neurological damage to progress

These effects are generally no more bothersome than what you might feel after a flu shot or a routine blood draw

Other Risk Factors: Additional factors that can contribute to B12 deficiency include alcohol abuse, certain medications (e.g., metformin, proton pump inhibitors), and underlying health conditions affecting absorption

It is important to note that when fat cells grow larger, they release nicotinamide N-methyltransferase (NNMT), which slows down metabolism and further leads to weight gain

You will have to crush tablets or open the capsules while you are on the liquid diet

Symptoms of B12 Overdose: Causes and When to Seek Help Symptoms of B12 overdose are exceptionally rare, as vitamin B12 is water-soluble and excess amounts are typically excreted through urine