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These include gastrointestinal disorders, such as Crohns disease or celiac disease, and surgeries like gastric bypass that alter the digestive tract

But heres what many people dont realize: once your kidney function drops below that 60 mark, B12 processing becomes less predictable

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That pressure is what causes the classic symptoms: localized pain, radiating pain down a leg (sciatica) or arm, numbness, tingling, and muscle weakness