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Key risk factors include: Pernicious anemia Gastrointestinal or autoimmune disorders Alcoholism Those who have undergone bariatric surgery, adhere to strict vegetarian diets, or have long-term use of antacids or proton pump inhibitors are also susceptible

Hematocrit, reticulocyte count, Vitamin B12, folate and iron levels should be obtained prior to treatment

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While a mild deficiency might not immediately present noticeable symptoms, untreated cases can lead to: Fatigue, weakness, or persistent feelings of tiredness and lightheadedness

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