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Western Journal of Surgery, Obstetrics and Gynecology

6,10,11 Surgical management can be considered if nonsurgical treatment is unsuccessful or the patient has rapidly progressive neurologic symptoms

doi:10.1016/S0026-0495(96)90171-7

Common symptoms include: Persistent fatigue Low energy levels Shortness of breath Dizziness or feeling faint Irregular heartbeats (palpitations) Pale or yellowish skin Reduced appetite or unintentional weight loss If left untreated, B12 deficiency can lead to serious complications, including nerve damage, cognitive issues, and changes in mood

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