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These include: Paraesthesia (pins and needles) in hands and feet Peripheral neuropathy with numbness or altered sensation Difficulty walking or balance problems (ataxia) Memory problems and cognitive difficulties Mood changes, including depression or irritability In severe cases, confusion or dementia-like symptoms Other manifestations may include: Loss of appetite and unintentional weight loss Constipation Visual disturbances (rare, but can occur with optic neuropathy) Important: The neurological complications of B12 deficiency can progress even in the absence of anaemia, making early detection crucial

This is because B12 is absorbed in the latter part of the small intestine, but the process requires hydrochloric acid from the stomach

Proc Am Assoc Thorac Surg 23:82-83, 2000

This is a common cause of B12 deficiency in the UK and is usually diagnosed by your general practitioner

Tesamorelin, CJC-1295 (No DAC), Ipamorelin 12mg (Blend) 125.00 CJC-1295 (no DAC) (Modified GRF) is a truncated peptide analogue of growth hormone releasing hormone (GHRH)