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Problems due to lack of cell division in fast dividing tissues: Anaemia, or any cytopaenia (including leucocytes, lymphocytes, platelets) Mouth ulcers, malabsorption, diarrhoea due to macrocytosis and atrophy of the intestinal mucosa as demonstrated by Foroozan and Trier

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Moreover, certain medications, including metformin, proton pump inhibitors, and antacids may also reduce your body’s ability to absorb vitamin B12 from your diet (1, summary Vitamin B12 deficiency can manifest itself through a variety of symptoms