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A vitamin B12 shortage can cause a variety of health issues, ranging from exhaustion to permanent neurological abnormalities

This can be risky because an untreated B12 deficiency could lead to nerve issues down the line

[4] However, consistently taking large amounts of vitamins from multiple sources could potentially increase the risk of side effects (for example, very high vitamin B intake from multiple supplements over time can cause neuropathy, and high niacin from many sources could affect your liver)

If necessary, you may be referred to another specialist within the NHS, such as a haematologist, gastroenterologist, or dietician