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Although many of the symptoms improve with treatment, some problems caused by the condition can be irreversible if left untreated

Oral supplements have also been shown to be effective at treating vitamin B12 deficiency

Pain from muscle twitching can make a person less willing to take part in OT and/or PT and in activities they once enjoyed, thus impacting their recovery and overall quality of life

Sublingual pills: since these pills never reach the stomach but dissolve in the mouth, it can also be a good option for bariatric surgery patients seeking to avoid vitamin B12 deficiency after their gastric bypass

Low vitamin B12 levels may be associated with fatigue, neurological symptoms, and anemia