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Uncomplicated fatty liver disease does not typically raise B12 levels

Some people feel improvement in fatigue sooner, but blood markers and neurologic symptoms may take longer to assess

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[41] [42] Functional vitamin B 12 deficiency can also develop with heavy regular use of nitrous oxide N 2 O, also known as "laughing gas", by oxidizing the cobalt atom and inactivating the vitamin

Patients with pernicious anemia have about 3 times the incidence of carcinoma of the stomach as in the general population, so appropriate tests for this condition should be carried out when indicated