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Vitamin B12 deficiency symptoms Weakness, tiredness, or lightheadedness Heart palpitations and shortness of breath Pale skin A painful, smooth, inflamed tongue (glossitis) Digestive issues Bluish or gray-brown nails Loss of appetite What happens if your vitamin B12 deficiency is left untreated

Early deterioration of CIDP following transition from IVIG to FcRn inhibitor treatment

The people who are at the highest risk of B12 insufficiency or deficiency are older adults, those with atrophic gastritis, gastrointestinal disorders, pernicious anemia, those who have had gastrointestinal surgery, vegans, and vegetarians

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Yuen KCJ, Dunger DB

The precise administration route should be selected based on patient assessment and clinician discretion