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Therapeutic response to cyanocobalamin may decrease due to elderly age, infection, renal insufficiency, diabetes mellitus, marrow suppressants use (e.g

What are the common symptoms of Vitamin B-12 deficiency

The appetite suppression breaks the cycle of restriction followed by rebound overeating

Nutritional imbalances, including low B12 levels, are becoming increasingly common due to: Highly processed diets Use of acid-reducing medications Digestive disorders (like IBS or celiac disease) Vegetarian or vegan diets without proper supplementation In suburban communities like Troy, MI, where fast-paced lifestyles often limit dietary variety, its easy to overlook vitamin levels until symptoms appear