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In this situation, it can be challenging to demonstrate B12 deficiency even when there are typical symptoms (including neuropathy-like paraesthesia and numbness), as serum B12 concentrations may be just within, or sometimes above, the normal range due to the oral supplementation

If you notice a pattern of worse bruising or persistent pain, a short clinician review can adapt the plan

Remember: you may not notice any symptoms of a vitamin B12 deficiency, especially if youre getting adequate folate

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