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Diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration), which may cause kidney problems
However, if your body has trouble absorbing B12 due to digestive issues, pills may not be as effective
"If I feel fine, my B12 is fine." B12 deficiency builds slowly, and your liver reserve masks it for a long stretch
(1) Inflammatory and autoimmune conditions have also been reported among associated causes, although the evidence is less consistent than for liver disease, renal disease, myeloid disease, and solid cancer
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