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Additionally, some blood cancers may cause symptoms similar to B12 deficiency, such as fatigue and anemia

Examples of these symptoms include: Anxiety Mood swings or irritability Suicidal thoughts Fatigue or dizziness Weight changes Nausea Headaches Insomnia Flu-like symptoms Brain zaps (a feeling of small electrical shocks in your head) Withdrawal symptoms may last for up to two weeks but the duration depends on many factors, and not everyone experiences them

Systemic Reactions : Although rare, some individuals may experience more widespread symptoms such as fatigue, headaches, or gastrointestinal issues

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Are there any medication interactions that affect vitamin B12 absorption