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If the intestines find it difficult to absorb and break down vitamin B12 from food sources, it can cause a deficiency

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There is no scientific evidence to support this, but doctors generally recommend vitamin B12 supplements to people dealing with low energy

The cost and availability of auto-antibodies testing, such as intrinsic factor and anti-parietal cell antibodies, can be a barrier to further investigation for vitamin B12 deficiency to exclude pernicious anemia

People often live with these symptoms for months before anyone connects them to B12