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Many patients reduce their total food intake by 4060% during the first months of treatment, which directly lowers intake of these essential compounds

These people include: Elderly Adults with Atrophic Gastritis People with Pernicious Anemia Vegans & Vegetarians Pregnant & Lactating Women Particularly those who are vegan as well People Taking Certain Medications Prilosec Prevacid Metformin Tagamet Pepcid Zantac Chloromycetin Anticonvulsants More so, vitamin B12 deficiency can lead to vitamin B12 deficiency anemia, which has a range of negative symptoms: Pale or yellow skin Feelings of dizziness No appetite Rapid weight loss Numb or tingling feet Chest pain Rapid heartbeat Weak muscles Mood changes Confusion Forgetfulness More so, a long-term deficiency in vitamin B12 can lead to heart, brain, nerves, bone, and other organ damage

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Resection of the gastrointestinal tract was the definite cause although some of these patients had other medical conditions which might have played a role in the pathogenesis of the vitamin B 12 deficiency