Preliminary research shows that a lack of vitamin B12 may be linked to trouble sleeping and feeling tired during the day
Inadequate secretion of intrinsic factor, resulting from lesions that destroy the gastric mucosa (which can be caused by ingestion of corrosives, extensive tumors, and conditions associated with gastric atrophy, such as multiple sclerosis, certain endocrine disorders, iron deficiency, and subtotal gastrectomy) Structural lesions leading to vitamin B 12 deficiency, including regional ileitis, ileal reactions, and malignancies Competition for vitamin B 12 by intestinal parasites or bacteria
It also aids in producing serotonin and dopamine, which regulate mood and emotional balance
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AUA Update Series , Volume 40
Neurological symptoms can occur even without anaemia and require urgent GP assessment